Individual provider Active NPI

Jeffrey Burrell Mathews, DC

  • Chiropractor
  • Colorado Springs, CO
National Provider Identifier
1891907887
Registry record updated Mar 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5752 Issued in CO
Practice address
120 E Las Animas St
Colorado Springs, CO 80903-4138
Phone
(719) 203-4252
Fax
(719) 203-4276
NPI assigned
May 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5752 CO Primary

Addresses

Primary practice location

120 E Las Animas St
Colorado Springs, CO 80903-4138

Mailing address

455 E Pikes Peak Ave
Ste 309
Colorado Springs, CO 80903-3674
Phone (719) 203-4252

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

LicenseStateTypeSpecialty
5752COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Rehab Assoc in 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.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459123200000",
    "number": "1891907887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 E PIKES PEAK AVE",
            "address_2": "STE 309",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809033674",
            "telephone_number": "719-203-4252",
            "fax_number": "719-471-2116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E LAS ANIMAS ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809034138",
            "telephone_number": "719-203-4252",
            "fax_number": "719-203-4276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEWS",
        "first_name": "JEFFREY",
        "middle_name": "BURRELL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2016-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.