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MITCHELL REED MATERNA DC
NPI 1881300770
Chiropractor in San Jose, CA

Active since January 25, 2023
2680 BERRYESSA RD, SAN JOSE, CA 95132(408) 258-0812(408) 258-4550 Get Directions Write a Review

NPPES record last updated: June 19, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 19, 2024, Jan 25, 2023 (2 updates tracked since 2023).

About Mitchell Reed Materna Dc NPPES

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

MITCHELL REED MATERNA DC (NPI 1881300770) is an individual chiropractor in San Jose, California, licensed in Illinois (038.013870) and active in the NPI registry since January 2023. He maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1881300770
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameMITCHELL REED MATERNACredential: DC
Location Address2680 BERRYESSA RDSan Jose, CA 95132-2900
Mailing Address2680 Berryessa RdSan Jose, CA 95132-2900 · (408) 258-0812 · Fax (408) 258-4550
Phone(408) 258-0812
Fax(408) 258-4550
Sole ProprietorNo
Enumeration DateJanuary 25, 2023
Last NPPES UpdateJune 19, 20242 updates tracked since enumeration
NPPES CertifiedJune 19, 2024
✔ NPI 1881300770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IL · 038.013870
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.

2680 BERRYESSA RD, San Jose, CA 95132
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Secondary Practice Location 1

Location 11150 N State St Ste 310Chicago, IL 60610-2781 · Phone (312) 988-9655

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 Mitchell Materna's NPI number?

The NPI number for Mitchell Materna is 1881300770. It was assigned to this individual provider in the NPPES registry on January 25, 2023.

Where is Mitchell Materna located?

Mitchell Materna practices at 2680 Berryessa Rd, San Jose, CA 95132. The listed phone number is (408) 258-0812.

What is Mitchell Materna'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 Mitchell Materna was last updated on June 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.