Individual provider Active NPI

Matthew A Mihajlovits, D.C.

  • Chiropractor
  • Bowling Green, KY
National Provider Identifier
1992721534
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
428362 Issued in KY
Practice address
2709 Nashville Rd
Bowling Green, KY 42101-4038
Phone
(270) 842-1955
Fax
(270) 842-1508
NPI assigned
Jul 15, 2006
Last updated
May 14, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4504 SC
Chiropractor 111N00000X 428362 KY Primary

Addresses

Primary practice location

2709 Nashville Rd
Bowling Green, KY 42101-4038

Mailing address

2709 Nashville Rd
Bowling Green, KY 42101-4038
Phone (270) 842-1955

Other practice location 1

1353 Tiger Blvd Ste 4
Clemson, SC 29631-2655
Phone (864) 653-3928

Other identifiers 1

IdentifierTypeStateIssuer
7100249450MedicaidKY

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address hello@calhounfamilychiropractic.com Health Information Exchange (HIE)
Direct Messaging Address office@crouchfamilychiro.hush.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120504000592 KY Practitioner - Chiropractic 4587750542 Reassigns benefits to 1 organization
Practice locations: Louisville, KY
I20200312001779 SC Practitioner - Chiropractic 4587750542 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
428362KYMDChiropractor
4504SCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Crouch Family Chiropractic, LLC Chiropractor CurrentSince Feb 15, 2021 Accepting new patients
Calhoun Family Chiropractic, LLC Chiropractor CurrentSince Jan 15, 2020 Accepting new patients
Calhoun Family Chiropractic Chiropractor Past Accepting new patients
TDH Inc Chiropractor Past Accepting new patients
Matthew a. Mihajlovits DC PLLC Chiropractor PastSince Jul 15, 2013 Accepting new patients
Anderson Chiropractic & Rehab PLLC Chiropractor Past Accepting new patients

Locations

2709 Nashville Rd
Bowling Green, KY 42101
Phone (270) 842-1955

1353 Tiger Blvd
Ste 4
Clemson, SC 29631
Phone (864) 653-3829

400 Pendleton Rd
Clemson, SC 29631
Phone (864) 653-9955

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1992721534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 NASHVILLE RD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421014038",
            "telephone_number": "270-842-1955",
            "fax_number": "270-842-1508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709 NASHVILLE RD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421014038",
            "telephone_number": "270-842-1955",
            "fax_number": "270-842-1508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1353 Tiger Blvd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Clemson",
            "state": "SC",
            "postal_code": "296312655",
            "country_code": "US",
            "telephone_number": "864-653-3928",
            "fax_number": "864-653-4949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIHAJLOVITS",
        "first_name": "MATTHEW",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4504",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "428362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100249450",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hello@calhounfamilychiropractic.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1353 Tiger Blvd Ste 4",
            "city": "Clemson",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296312655",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@crouchfamilychiro.hush.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2709 Nashville Rd",
            "city": "Bowling Green",
            "state": "KY",
            "country_code": "US",
            "postal_code": "421014038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; 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.

Verify at the official NPI Registry.