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DR DUSTAN J MATTINGLY
NPI 1578617056
Chiropractor in Saint Louis, MO

Active since January 22, 2007
6411 CHIPPEWA ST, SAINT LOUIS, MO 63109(314) 352-3345(314) 352-3460 Get Directions Write a Review

NPPES record last updated: November 29, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr Dustan J Mattingly NPPES

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

DR DUSTAN J MATTINGLY (NPI 1578617056) is a healthcare organization registered as a chiropractor in Saint Louis, Missouri and active in the NPI registry since January 2007. The organization lists Ryan Richard Freeland, Production Manager, as its authorized official.

NPPES Registry Identity

NPI1578617056
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameMATTINGLY CHIROPRACTIC
Location Address6411 CHIPPEWA STSaint Louis, MO 63109-2104
Mailing Address6411 Chippewa StSaint Louis, MO 63109-2104 · (314) 352-3345 · Fax (314) 352-3460
Phone(314) 352-3345
Fax(314) 352-3460
Organization SubpartNo
Authorized OfficialRyan Richard FreelandProduction Manager · (314) 352-3345
Enumeration DateJanuary 22, 2007
Last NPPES UpdateNovember 29, 2007
✔ NPI 1578617056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MO · 2003002102
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.
6411 CHIPPEWA ST, Saint Louis, MO 63109
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Other Names 1

Other NameDr Dustan J Mattingly

Other Identifiers 1

Medicare UPINU47403MO

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Mattingly Chiropractic's NPI number?

The NPI number for Mattingly Chiropractic is 1578617056. It was assigned to this organization in the NPPES registry on January 22, 2007. The provider is also known as Dr Dustan J Mattingly.

Where is Mattingly Chiropractic located?

Mattingly Chiropractic is located at 6411 Chippewa St, Saint Louis, MO 63109. The listed phone number is (314) 352-3345.

What is Mattingly Chiropractic'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 Mattingly Chiropractic was last updated on November 29, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.