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MATTHEWS CHIROPRACTIC CLINIC
NPI 1194955484
Chiropractor in Jackson, MS

Active since July 21, 2009
4515 OFFICE PARK DRIVE, JACKSON, MS 39206(601) 366-9005 Get Directions Write a Review

NPPES record last updated: July 21, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Matthews Chiropractic Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEWS CHIROPRACTIC CLINIC (NPI 1194955484) is a healthcare organization registered as a chiropractor in Jackson, Mississippi and active in the NPI registry since July 2009. The organization lists Endre Dejuan Matthews, Owner, as its authorized official.

NPPES Registry Identity

NPI1194955484
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameMATTHEWS CHIROPRACTIC CLINIC
Location Address4515 OFFICE PARK DRIVEJackson, MS 39206
Mailing Address4515 Office Park DrJackson, MS 39206-6017 · (601) 366-9005
Phone(601) 366-9005
Organization SubpartNo
Authorized OfficialEndre Dejuan MatthewsOwner · (601) 366-9005
Enumeration DateJuly 21, 2009
✔ NPI 1194955484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MS · 1015
Definition
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.
4515 OFFICE PARK DRIVE, Jackson, MS 39206
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Other Identifiers 2

Medicaid00125438MS
Medicare UPIN89819MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthews Chiropractic Clinic's NPI number?

The NPI number for Matthews Chiropractic Clinic is 1194955484. It was assigned to this organization in the NPPES registry on July 21, 2009.

Where is Matthews Chiropractic Clinic located?

Matthews Chiropractic Clinic is located at 4515 Office Park Drive, Jackson, MS 39206. The listed phone number is (601) 366-9005.

What is Matthews Chiropractic Clinic's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Matthews Chiropractic Clinic was last updated on July 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.