Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. L. RUSSELL MATTHIAS, DC
Deactivated Sole ProprietorDR. L. RUSSELL MATTHIAS, DC is a Chiropractor healthcare provider located in BLUE SPRINGS, Missouri. NPI 1134128382 is deactivated in the NPPES registry. Verify at CMS.
Chiropractor · BLUE SPRINGS, MO
This NPI has been deactivated.
The record was deactivated on March 20, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1134128382
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 19, 2005 (0.66849315068493 yrs)
- Last Updated
- Nov 1, 2025
- Deactivated
- Mar 20, 2006
- License
-
003788 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1050 NW SOUTH OUTER RDSUITE 400BLUE SPRINGS, MO, 640153064Browse MO providers · Browse ZIP 64015
- Phone
- 8162285113
- Primary Specialty
-
Chiropractor
111N00000X
Other Chiropractor Providers in BLUE SPRINGS, MO
| Name | Credential | NPI |
|---|---|---|
| DR. JENNIFER ANNE AMUNDSON-MULLINS | DC | 1396739371 |
| MR. MARK R DITZENBERGER | D.C. | 1508894692 |
| KEVIN LEE TUCKER | D.C. | 1285662973 |
| BRYAN C. ALLEN | D.C. | 1598799736 |
| DR. RONALD K WILDS | DC | 1619992401 |
| DR. WADE RUSTICI | D.C. | 1205940954 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.