Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Dustan J. Mattingly, DC

Individual provider Chiropractor · NPI 1508048257

Dr. Dustan J. Mattingly, DC is a Chiropractic in Saint Louis, Missouri. Graduated from Palmer College Chiropractic - Davenport in 1993, 33 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
33
Trained at
Palmer College Chiropractic - Davenport
Licensed in
MO
In the registry since
2007
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

8430 Watson Rd
Saint Louis, MO 63119-5217
Phone: (314) 635-1008
Fax: (314) 635-1013
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 2003002102 (MO)

Record details

NPI number1508048257
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedDecember 4, 2007
Last updated in NPPESDecember 12, 2022
Certification dateDecember 12, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolPALMER COLLEGE CHIROPRACTIC - DAVENPORT
Graduated 1993 (33 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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