Active NPI
Linda Matz, P.C.
- Chiropractor
- Missoula, MT
National Provider Identifier
1962012732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- LINDA MATZ, P.C.
- Practice address
- 3700 S Russell St Ste 115
Missoula, MT 59801-8579 - Phone
- (406) 203-5180
- Fax
- (406) 203-5178
- NPI assigned
- Aug 5, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Linda Marie Matz, DC
- Title
- Owner President
- Phone
- (406) 203-5180
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
3700 S Russell St Ste 115
Missoula, MT 59801-8579
Mailing address
3700 S Russell St Ste 115
Missoula, MT 59801-8579
Phone (406) 203-5180
Other names 1
- Bloom Chiropractic and Wellness Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200915002729 | MT | Part B Supplier - Clinic/Group Practice | 1254759731 |
Receives reassigned benefits from 2 practitioners Practice locations: Missoula, MT |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Missoula, MT
- NPI 1659402469
-
- Chiropractor
- Missoula, MT
- NPI 1336624840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596585600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1596758400000",
"number": "1962012732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3700 S RUSSELL ST STE 115",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598018579",
"telephone_number": "406-203-5180",
"fax_number": "406-830-3447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 S RUSSELL ST STE 115",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598018579",
"telephone_number": "406-203-5180",
"fax_number": "406-203-5178"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LINDA MATZ, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-05",
"last_updated": "2020-08-07",
"certification_date": "2020-08-07",
"status": "A",
"authorized_official_last_name": "MATZ",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OWNER PRESIDENT",
"authorized_official_telephone_number": "406-203-5180",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bloom Chiropractic and Wellness Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Bloom Chiropractic and Wellness Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.