Individual provider Active NPI

Matthew Defroda, D.C

  • Chiropractor
  • Smyrna, DE
National Provider Identifier
1083069462
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
F1-0000944 Issued in DE
Practice address
1000 Smyrna Clayton Blvd Ste 3
Smyrna, DE 19977-2228
Phone
(302) 202-9926
NPI assigned
May 4, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC011128 PA
Chiropractor 111N00000X F1-0000944 DE Primary

Addresses

Primary practice location

1000 Smyrna Clayton Blvd Ste 3
Smyrna, DE 19977-2228

Mailing address

218 Clayton Ave
Clayton, DE 19938-7705

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160606000233 DE Practitioner - Chiropractic 9638469596 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1000 Smyrna Clayton Blvd
Suite 3
Smyrna, DE 19977-2228
Phone (302) 766-4133

Hospital & facility affiliations

  • Bayhealth Medical Center, Kent Campus Hospital, Dover, DE, CCN 080004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F1-0000944DEMDChiropractor
DC011128PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Smyrna Chiropractic LLC Chiropractor CurrentSince Apr 30, 2023 Accepting new patients
Renu Chiropractic, LLC Chiropractor CurrentSince Jun 2, 2016 Accepting new patients

Locations

907 S College Ave
Newark, DE 19713
Phone (302) 368-0124

1352 Marrows Rd
Ste 202
Newark, DE 19711
Phone (302) 368-0124

1000 Smyrna Clayton Blvd
Ste 3
Smyrna, DE 19977
Phone (302) 659-0500

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1083069462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 CLAYTON AVE",
            "city": "CLAYTON",
            "state": "DE",
            "postal_code": "199387705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 SMYRNA CLAYTON BLVD STE 3",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199772228",
            "telephone_number": "302-202-9926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFRODA",
        "first_name": "MATTHEW",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-04",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011128",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "DE",
            "license": "F1-0000944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.