DR. CHAD JEFFREY MATTILA (NPI# 1306903299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306903299 |
| Entity Type | Individual |
| Full Name | DR. CHAD JEFFREY MATTILA |
| Credential | D.C. |
| Practice Address |
1 Central Ave W Suite 201 Saint Michael MN 55376-9603 |
| Mailing Address |
1 Central Ave W Ste 201 Saint Michael MN 55376-4590 |
| Practice Telephone | 6126443392 |
| Mailing Telephone | 6126443392 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2014-01-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 4894 | MN | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | GROUP NPI | 1609995877 | 01 |
| Street Address |
1 CENTRAL AVE W SUITE 201 |
| City | SAINT MICHAEL |
| State | MN |
| Zip Code | 55376-9603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609995877 | Northwest Spine and Pain Center of St. Michael, Pa | Chiropractor | 1 Central Ave W, Suite 201, Saint Michael, MN 55376-4591 | 2007-03-28 |
| 1932266111 | Cornerstone Vision Clinic LLC | Eyewear Supplier (Equipment, not the service) | 1 Central Ave W, Suite 104, Saint Michael, MN 55376-4591 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417513128 | Jacqueline Jensen | Physical Therapist | 601 Central Ave W, Suite 102, St Michael, MN 55376 | 2019-05-17 |
| 1902308901 | Great Lakes Chiropractic of St. Michael Pllc Ltd | Chiropractor | 116 Central Ave E, Saint Michael, MN 55376 | 2018-03-06 |
| 1073050704 | Catherine Passe | Registered Nurse | 600 Central Street Avenue East, St Michael, MN 55376 | 2017-01-19 |
| 1518208313 | Allison Rae Delaney | Speech-Language Pathologist | 403 East Central Ave, Suite 102, Sunny Days Therapy, St. Michael, MN 55376 | 2013-03-05 |
| 1902195357 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 9 Central Ave E, Saint Michael, MN 55376 | 2011-04-06 |
| 1629148523 | John Richard Biorn | Dentist | 399 East Central Ave, St. Michael, MN 55376 | 2006-11-08 |
| 1124096730 | Catherine T Pham | Pediatrics | 4300 Edgewood Drive Ne, St. Michael, MN 55376 | 2006-03-09 |
| 1295256345 | Caleb John Mol | Marriage & Family Therapist | 703 Thielen Dr, Saint Michael, MN 55376 | 2017-06-29 |
| 1508022922 | Katie J Stangl | Marriage & Family Therapist | 703 Thielen Dr, Saint Michael, MN 55376 | 2008-08-05 |
| 1225100811 | Posthumus & Biorn, Inc. | Dentist | 399 Central Ave E, Saint Michael, MN 55376-0279 | 2006-11-15 |
| Find all providers in zip 55376 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902308901 | Great Lakes Chiropractic of St. Michael Pllc Ltd | Chiropractor | 116 Central Ave E, Saint Michael, MN 55376 | 2018-03-06 |
| 1740645506 | John Arns | Chiropractor | 249 Central Ave E Ste 3, Saint Michael, MN 55376-8493 | 2015-12-22 |
| 1649359027 | Kimberly Ann Martin | Chiropractor | 100 Central Ave E, Suite 200, Saint Michael, MN 55376-4510 | 2006-11-04 |
| 1811075369 | Michael F Hosko | Chiropractor | 400 Central Ave E Ste 70, Saint Michael, MN 55376-9525 | 2006-11-01 |
| 1902997703 | Boone Family Chiropractic and Wellness, Plc | Chiropractor | 12630 43rd St Ne, Saint Michael, MN 55376-8432 | 2006-09-27 |
| 1225034127 | Troy William Tvedt II | Chiropractor | 703 Thielen Dr, Saint Michael, MN 55376-9613 | 2005-06-24 |
| 1801251145 | Arns Companies, PC | Chiropractor | 249 Central Ave E Ste 3, Saint Michael, MN 55376-8493 | 2015-12-30 |
| 1609995877 | Northwest Spine and Pain Center of St. Michael, Pa | Chiropractor | 1 Central Ave W, Suite 201, Saint Michael, MN 55376-4591 | 2007-03-28 |
| 1487783965 | St. Michael Spinal Rehab Center, Inc | Chiropractor | 400 Central Ave E Ste 70, Saint Michael, MN 55376-9525 | 2007-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477785 | Samantha Nielsen | Chiropractor | 482 Snelling Ave S, Saint Paul, MN 55116-1501 | 2020-11-04 |
| 1063013340 | Plymouth Chirocenter LLC | Chiropractor | 3900 Vinewood Ln N Ste 19, Plymouth, MN 55441-1155 | 2020-11-04 |
| 1093315855 | Today Evolved Ltd. | Chiropractor | 321 Broadway Ave, St Paul Park, MN 55071-1841 | 2020-10-29 |
| 1417556796 | Nicole Frogner Koshiol | Chiropractor | 11901 Highway 65 Ne, Blaine, MN 55434-3911 | 2020-10-19 |
| 1417554627 | Austin Montgomery Gray | Chiropractor | 4229 West Frontage Rd Nw, Suite 4, Rochester, MN 55901 | 2020-10-01 |
| 1659988848 | Amanda Shorter | Chiropractor | 669 Winnetka Ave N Ste 202, Golden Valley, MN 55427-4576 | 2020-09-30 |
| 1700499308 | Devries Spine Care Pllc | Chiropractor | 4748 Chicago Ave Ste 10, Minneapolis, MN 55407-4311 | 2020-08-25 |
| 1316559024 | Lashonda Jung | Chiropractor | 8112 Minnetonka Blvd, St Louis Park, MN 55426-3022 | 2020-08-24 |
| 1699384198 | Arrow Health Chiropractic, P.a. | Chiropractor | 1000 Nicollet Mall # 260, Minneapolis, MN 55403-2542 | 2020-07-30 |
| 1366051278 | Altrui Sc | Chiropractor | 11985 Technology Dr Ste 120, Eden Prairie, MN 55344-3614 | 2020-07-27 |
| Find all providers with the same taxonomy | ||||
| City | SAINT MICHAEL |
| Zip Code | 55376 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.