Carlos Matos

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

227008631 Issued in IL

Practice address

5215 N Ravenswood Ave
Suite 105
Chicago, IL 60640-1668

Phone

(773) 878-7330

NPI assigned

Jul 18, 2014

Last updated

Jul 18, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Dr Todd C Renn, P.C.

  dba Ravenswood Chiropractic & Wellness Center

  • Chiropractor
  • Chicago, IL
  • NPI 1467506675
  NPD (past)
• Essential Health Solutions Inc

  • Nutrition Education Nutritionist
  • Chicago, IL
  • NPI 1497872345
  NPD (past)

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

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405641600000",
    "number": "1023425360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5022 N PARKSIDE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606304633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 N RAVENSWOOD AVE",
            "address_2": "SUITE 105",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401668",
            "telephone_number": "773-878-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOS",
        "first_name": "CARLOS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-18",
        "last_updated": "2014-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227008631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Matlock, APN CNM
• Kenarr Matoesian, DPT
• Alvaro Franco Matos Arana, MD
• Tallita Anny Matos de Menezes, MD
• Adriana E Matos Desautels, MHS, SLP-CF
• Melinda Matos
• Natalie Matos, LCSW
• Debora Matossian, MD
• Margarite Deloris Matossian
• Saxony A Matousek, P.T.

• Massage Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Massage Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.