Matt Devreugd, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301009861 Issued in MI

Practice address

6411 Bella Vista Dr NE
Ste #2
Rockford, MI 49341-7869

Phone

(616) 874-7255

Fax

(616) 874-7196

NPI assigned

Nov 23, 2011

Last updated

Jan 14, 2013By 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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

National University of Arts and Sciences, Medical Department, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Almond Leaf Chiropractic, PLC

  • Chiropractor
  • Rockford, MI
  • NPI 1376887638
  Medicare reassignment NPD Authorized official
• Sehgal Chiropractic, Inc.

  • Chiropractor
  • Madison Heights, MI
  • NPI 1386672962
  NPD (past)

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

{
    "created_epoch": "1322006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358121600000",
    "number": "1104193812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6411 BELLA VISTA DR NE",
            "address_2": "STE #2",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493417869",
            "telephone_number": "616-874-7255",
            "fax_number": "616-874-7196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6411 BELLA VISTA DR NE",
            "address_2": "STE #2",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493417869",
            "telephone_number": "616-874-7255",
            "fax_number": "616-874-7196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVREUGD",
        "first_name": "MATT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-23",
        "last_updated": "2013-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "0P04060",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM PIN",
            "identifier": "0F38212",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Degeest
• Tiffany Rose Delange, PT, DPT
• Evan Donald Demara
• Rick W Dettloff, PHARMD
• Sarah Deur, LPTA, LMT
• Rhiannon Marie Deyoung, PT
• Cassandra Marie Dietz, OTR
• Rebecca Dietz
• Jessica Dillon, CCC-SLP
• Robin D Dine

• Chiropractor in Rockford, MI
• Providers in Rockford, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; 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.