NPIMap

Organization Active NPI

Mathews Family Chiropractic PC

  • Clinic/Center
  • Imperial, NE
National Provider Identifier
1871839720
Registry record updated Mar 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
1237 Issued in NE
Legal business name
MATHEWS FAMILY CHIROPRACTIC PC
Practice address
126 West 6TH Street
Imperial, NE 69033-0404
Phone
(308) 423-5626
Fax
(308) 423-5625
NPI assigned
Dec 21, 2012
Organization subpart
Yes
Parent organization
MATHEWS FAMILY CHIROPRACTIC PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 12, 2015

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

Authorized official

Name
Dr. Jason Eric Mathews, D.C.
Title
Owner
Phone
(308) 423-5626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 1237 NE Primary

Addresses

Primary practice location

126 West 6TH Street
Imperial, NE 69033-0404

Mailing address

PO Box 583
Benkelman, NE 69021-0583
Phone (308) 423-5626

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100923000695 NE Part B Supplier - Clinic/Group Practice 7719003185 Receives reassigned benefits from 2 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Imperial, NE; Grant, NE; Benkelman, NE

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Mathews Family Chiropractic3 organizations share this tax ID, including this one
Part of
Mathews Family Chiropractic

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

126 W 6th St
Imperial, NE 69033
Phone (303) 882-2925

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1356048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426118400000",
    "number": "1871839720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 583",
            "city": "BENKELMAN",
            "state": "NE",
            "postal_code": "690210583",
            "telephone_number": "308-423-5626",
            "fax_number": "308-423-5625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 WEST 6TH STREET",
            "city": "IMPERIAL",
            "state": "NE",
            "postal_code": "690330404",
            "telephone_number": "308-423-5626",
            "fax_number": "308-423-5625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATHEWS FAMILY CHIROPRACTIC PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MATHEWS FAMILY CHIROPRACTIC PC",
        "enumeration_date": "2012-12-21",
        "last_updated": "2015-03-12",
        "status": "A",
        "authorized_official_last_name": "MATHEWS",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "308-423-5626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NE",
            "license": "1237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Imperial, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.