Individual provider Active NPI

Matthew Garrett Hellem, DC

  • Chiropractor
  • Longview, WA
National Provider Identifier
1891442166
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
61262775 Issued in WA
Practice address
820 Ocean Beach Hwy Ste 116
Longview, WA 98632-4081
Phone
(360) 414-3220
NPI assigned
Mar 7, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 61262775 WA Primary

Addresses

Primary practice location

820 Ocean Beach Hwy Ste 116
Longview, WA 98632-4081

Mailing address

290 Hall Rd
Silverlake, WA 98645-9788
Phone (360) 270-4944

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220503002412 WA Practitioner - Chiropractic 6103213558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverwoods Chiropractic and Massage PLLCGroup PAC ID 8820234016, 3 clinicians

Practice addresses (Care Compare)

820 Ocean Beach Hwy
Suite 116
Longview, WA 98632-4081
Phone (360) 414-3220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61262775WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Riverwoods Chiropractic & Massage, PLLC Chiropractor CurrentSince Jan 26, 2022 Accepting new patients

Locations

820 Ocean Beach Hwy
Ste 116
Longview, WA 98632
Phone (360) 200-3255

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.

NPI Registry JSON

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

{
    "created_epoch": "1646611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1891442166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 HALL RD",
            "city": "SILVERLAKE",
            "state": "WA",
            "postal_code": "986459788",
            "telephone_number": "360-270-4944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 OCEAN BEACH HWY STE 116",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986324081",
            "telephone_number": "360-414-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELLEM",
        "first_name": "MATTHEW",
        "middle_name": "GARRETT",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-07",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "61262775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.