Individual provider Active NPI

Matthew T Piazza, D.C.

  • Chiropractor
  • Redwood City, CA
National Provider Identifier
1114063401
Registry record updated Feb 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC30382 Issued in CA
Practice address
200 Main St
Redwood City, CA 94063-1751
Phone
(650) 366-2211
Fax
(650) 366-2351
NPI assigned
Jan 30, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC30382 CA Primary

Addresses

Primary practice location

200 Main St
Redwood City, CA 94063-1751

Mailing address

200 Main St
Redwood City, CA 94063-1751
Phone (650) 366-2211

Other identifiers 1

IdentifierTypeStateIssuer
CQ969AOtherCAMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100122000145 CA Practitioner - Chiropractic 1557436888 Reassigns benefits to 1 organization
Practice locations: Redwood City, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Matthew T Piazza Chiropractic PCGroup PAC ID 1052645017, 2 clinicians

Practice addresses (Care Compare)

200 Main St
Redwood City, CA 94063-1751
Phone (650) 366-2211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC30382CAMDChiropractor
30382CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew T Piazza Chiropractic PC Chiropractor CurrentSince May 21, 2018 Accepting new patients
Parkhurst Chiropractic Life Center PLC Chiropractor PastSince Jan 18, 2000 Accepting new patients

Locations

200 Main St
Redwood City, CA 94063
Phone (650) 366-2100

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360281600000",
    "number": "1114063401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MAIN ST",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631751",
            "telephone_number": "650-366-2211",
            "fax_number": "650-366-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MAIN ST",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631751",
            "telephone_number": "650-366-2211",
            "fax_number": "650-366-2351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIAZZA",
        "first_name": "MATTHEW",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2013-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC30382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CQ969A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.