Individual provider Active NPI

Matthew Michael Tubbs, D.C.

  • Chiropractor
  • Albert Lea, MN
National Provider Identifier
1982935557
Registry record updated Jan 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5331 Issued in MN
Practice address
226 W Clark St
Albert Lea, MN 56007-2548
Phone
(507) 369-5601
Fax
(507) 369-5602
NPI assigned
Jan 21, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5331 MN Primary

Addresses

Primary practice location

226 W Clark St
Albert Lea, MN 56007-2548

Mailing address

226 W Clark St
Albert Lea, MN 56007-2548
Phone (507) 369-5601

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100305000338 MN Practitioner - Chiropractic 4385789072 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1608 W Fountain St
Albert Lea, MN 56007-1667
Phone (507) 369-5601

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tubbs Chiropractic, P.a. Chiropractor CurrentSince Jan 22, 2010 Accepting new patients
Mason City Clinic PC PastSince Jan 22, 2010 Accepting new patients

Locations

226 W Clark St
Albert Lea, MN 56007
Phone (507) 369-5601

1608 W Fountain St
Albert Lea, MN 56007
Phone (507) 369-5601

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1264032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264032000000",
    "number": "1982935557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 W CLARK ST",
            "city": "ALBERT LEA",
            "state": "MN",
            "postal_code": "560072548",
            "telephone_number": "507-369-5601",
            "fax_number": "507-369-5602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 W CLARK ST",
            "city": "ALBERT LEA",
            "state": "MN",
            "postal_code": "560072548",
            "telephone_number": "507-369-5601",
            "fax_number": "507-369-5602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUBBS",
        "first_name": "MATTHEW",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-21",
        "last_updated": "2010-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albert Lea, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; 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.