Active NPI
Matthew James Smith, DC
- Chiropractor
- New Smyrna Beach, FL
National Provider Identifier
1003447665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH13037
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| CH13037 | FL | MD | Chiropractor |
Practice roles (2 of 13)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oceanside Wellness PLLC | Chiropractor | Current | Accepting new patients |
| First Choice Chiropractic of Ormond, Inc | Chiropractor | Past | 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.
-
- Chiropractor
- New Smyrna Beach, FL
- NPI 1144608969
-
- Chiropractor
- Ormond Beach, FL
- NPI 1891005369
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.