Dr. Matthew Philip Kingston, D.C.
Chiropractor in Madison, WI. Individual provider (NPI-1).
NPI number1760617989
StatusActive
Last updated in NPPESOct 21, 2019
Details
- NPI
- 1760617989
- Entity type
- Individual (NPI-1)
- Name
- Dr. Matthew Philip Kingston
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 18, 2009
- Last updated
- Oct 21, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CHIROPRACTIC
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 4500-12 | WI | Yes |
Practice location
1805 Paso Roble WayMadison, WI 53716-2418
Phone 608-395-9663
Mailing address
6737 Frank Lloyd Wright AveMiddleton, WI 53562-1762
Phone 608-203-6499 · Fax 608-203-8277
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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