Active NPI
Matthew Ryan Behm, DC
- Chiropractor
- Big Bend, WI
National Provider Identifier
1891083994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4649-012
- Practice address
- S71W23325 National Ave Ste 5
Big Bend, WI 53103-9495 - Phone
- (262) 662-9775
- Fax
- (262) 662-9773
- NPI assigned
- Jul 11, 2011
- Last updated
- Jul 11, 2011
- 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 | 4649-012 | WI | Primary |
Addresses
Primary practice location
S71W23325 National Ave Ste 5
Big Bend, WI 53103-9495
Mailing address
N83W13600 Fond Du Lac Ave Unit 115
Menomonee Falls, WI 53051-8105
Phone (262) 305-4485
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 |
|---|---|---|---|
| 4649-012 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catalyst Wellness LLC | Chiropractor | Past | Accepting new patients |
| Big Bend Vernon Releif & Wellness SC | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Big Bend, WI
- NPI 1871743047
-
- Chiropractor
- Big Bend, WI
- NPI 1669881058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310342400000",
"number": "1891083994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N83W13600 FOND DU LAC AVE UNIT 115",
"city": "MENOMONEE FALLS",
"state": "WI",
"postal_code": "530518105",
"telephone_number": "262-305-4485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "S71W23325 NATIONAL AVE STE 5",
"city": "BIG BEND",
"state": "WI",
"postal_code": "531039495",
"telephone_number": "262-662-9775",
"fax_number": "262-662-9773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEHM",
"first_name": "MATTHEW",
"middle_name": "RYAN",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-11",
"last_updated": "2011-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "4649-012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Big Bend, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.