Active NPI
Matthew Charles Jensen, D.C.
- Chiropractor
- Gilford, NH
National Provider Identifier
1881893527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 7433
- Practice address
- 14 Maple St Ste 100
Gilford, NH 03249 - Phone
- (603) 528-9100
- Fax
- (603) 524-5743
- NPI assigned
- Jul 12, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 7433 | AZ | Primary |
Addresses
Primary practice location
14 Maple St Ste 100
Gilford, NH 03249
Mailing address
14 Maple St Ste 100
Gilford, NH 03249-5510
Phone (603) 528-9100
Other practice location 1
2040 E Bell Rd
Phoenix, AZ 85022-2963
Phone (602) 992-4909
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7433 | AZ | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lrghealthcare | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Gilford, NH
- NPI 1467743427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546992000000",
"number": "1881893527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 MAPLE ST STE 100",
"city": "GILFORD",
"state": "NH",
"postal_code": "032495510",
"telephone_number": "603-528-9100",
"fax_number": "603-524-5743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 MAPLE ST STE 100",
"city": "GILFORD",
"state": "NH",
"postal_code": "03249",
"telephone_number": "603-528-9100",
"fax_number": "603-524-5743"
}
],
"practiceLocations": [
{
"address_1": "2040 E Bell Rd",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850222963",
"country_code": "US",
"telephone_number": "602-992-4909",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JENSEN",
"first_name": "MATTHEW",
"middle_name": "CHARLES",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-12",
"last_updated": "2019-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "7433",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gilford, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.