Individual provider Active NPI

Matthew Paul Kirschstein, D.C.

  • Chiropractor
  • Sleepy Eye, MN
National Provider Identifier
1871573162
Registry record updated Mar 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2388 Issued in MN
Practice address
201 2ND Ave SW
Sleepy Eye, MN 56085-1316
Phone
(507) 794-4971
Fax
(507) 794-4971
NPI assigned
Jan 20, 2006
Last updated
Mar 3, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2388 MN Primary

Addresses

Primary practice location

201 2ND Ave SW
Sleepy Eye, MN 56085-1316

Mailing address

201 2ND Ave SW
Sleepy Eye, MN 56085-1316
Phone (507) 794-4971

Other identifiers 2

IdentifierTypeStateIssuer
61293OtherMNMINNESOTA PHY. ID. NUMBER
611828300MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100519000851 MN Practitioner - Chiropractic 2365571965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

201 2ND Ave SW
Sleepy Eye, MN 56085-1316
Phone (507) 794-4971

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2388MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sleepy Eye Chiropractic PA Chiropractor CurrentSince Feb 1, 1987 Accepting new patients
In-Line Chiropractic, LLC Chiropractor Past Accepting new patients

Locations

201 2nd Ave SW
Sleepy Eye, MN 56085
Phone (507) 794-4971

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267574400000",
    "number": "1871573162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 2ND AVE SW",
            "city": "SLEEPY EYE",
            "state": "MN",
            "postal_code": "560851316",
            "telephone_number": "507-794-4971",
            "fax_number": "507-794-4971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 2ND AVE SW",
            "city": "SLEEPY EYE",
            "state": "MN",
            "postal_code": "560851316",
            "telephone_number": "507-794-4971",
            "fax_number": "507-794-4971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRSCHSTEIN",
        "first_name": "MATTHEW",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2010-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MINNESOTA PHY. ID. NUMBER",
            "identifier": "61293",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "611828300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sleepy Eye, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.