Mitchell Reed Materna, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.013870 Issued in IL

Practice address

2680 Berryessa Rd
San Jose, CA 95132-2900

Phone

(408) 258-0812

Fax

(408) 258-4550

NPI assigned

Jan 25, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1881300770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 BERRYESSA RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951322900",
            "telephone_number": "408-258-0812",
            "fax_number": "408-258-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 BERRYESSA RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951322900",
            "telephone_number": "408-258-0812",
            "fax_number": "408-258-4550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1150 N State St Ste 310",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606102781",
            "country_code": "US",
            "telephone_number": "312-988-9655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATERNA",
        "first_name": "MITCHELL",
        "middle_name": "REED",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-25",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.013870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Syeda Mateen, DDS
• Daniela Matejkova
• Evelin Carolina Mateo-Garcia
• Bea Karenina Mateo
• Sonia Ramos Mateo, RPH
• John Matero
• Cheyenne Melissa Mateus
• Amandeep Matharu
• Rajwinder K Matharu, PT
• Katherine Mather

• Chiropractor in San Jose, CA
• Providers in San Jose, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.