Individual provider Active NPI

Meagen Mateialona, BS, MS, DC

  • Chiropractor
  • Saint Charles, MI
National Provider Identifier
1891158226
Registry record updated Apr 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010299 Issued in MI
Practice address
115 S Saginaw St Ste 4
Saint Charles, MI 48655-1452
Phone
(989) 865-6100
NPI assigned
Apr 2, 2016
Last updated
Apr 2, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301010299 MI Primary
Chiropractor 111N00000X CHIR009079 GA

Addresses

Primary practice location

115 S Saginaw St Ste 4
Saint Charles, MI 48655-1452

Mailing address

115 S Saginaw St Ste 4
Saint Charles, MI 48655-1452
Phone (989) 865-6100

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
Credentials
Bachelor of Science, Master of Science

State licenses

LicenseStateTypeSpecialty
2301010299MIMDChiropractor

Interoperability endpoints

  • Direct secure messaging: meagan.mateialona.p1@direct.life.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1459555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459555200000",
    "number": "1891158226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 S SAGINAW ST STE 4",
            "city": "SAINT CHARLES",
            "state": "MI",
            "postal_code": "486551452",
            "telephone_number": "989-865-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S SAGINAW ST STE 4",
            "city": "SAINT CHARLES",
            "state": "MI",
            "postal_code": "486551452",
            "telephone_number": "989-865-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATEIALONA",
        "first_name": "MEAGEN",
        "name_prefix": "Dr.",
        "credential": "BS, MS, DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-02",
        "last_updated": "2016-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010299",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009079",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2016; 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.