Individual provider Active NPI

Matthew James Smith, DC

  • Chiropractor
  • New Smyrna Beach, FL
National Provider Identifier
1003447665
Registry record updated Jan 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH13037 Issued in FL
Practice address
3516 S Atlantic Ave
New Smyrna Beach, FL 32169-3628
Phone
(386) 690-4413
NPI assigned
Jan 31, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH13037 FL Primary

Addresses

Primary practice location

3516 S Atlantic Ave
New Smyrna Beach, FL 32169-3628

Mailing address

3516 S Atlantic Ave
New Smyrna Beach, FL 32169-3628
Phone (386) 690-4413

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2711 University Blvd N
Jacksonville, FL 32211-3235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH13037FLMDChiropractor

Practice roles (2 of 13)

OrganizationSpecialtyStatusNew patients
Oceanside Wellness PLLC Chiropractor CurrentSince Feb 2, 2020 Accepting new patients
First Choice Chiropractic of Ormond, Inc Chiropractor PastSince Jan 16, 2011 Accepting new patients

Locations

3516 S Atlantic Ave
New Smyrna Beach, FL 32169
Phone (386) 235-4412

Networks

  • AL HMO D-SNP
  • FL HMO
  • devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
  • devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
  • devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
  • FL HMO D-SNP
  • devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
  • FL PPO
  • devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
  • FL HMO C-SNP
  • AL HMO

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1003447665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3516 S ATLANTIC AVE",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321693628",
            "telephone_number": "386-690-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3516 S ATLANTIC AVE",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321693628",
            "telephone_number": "386-690-4413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MATTHEW",
        "middle_name": "JAMES",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-31",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH13037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Smyrna Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.