Individual provider Active NPI

Matthew Rush Zaideman, D.C.

  • Chiropractor
  • Tallahassee, FL
National Provider Identifier
1124375449
Registry record updated Aug 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10713 Issued in FL
Practice address
1610 W Plaza Dr
Tallahassee, FL 32308-5324
Phone
(850) 877-6790
NPI assigned
Aug 6, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH10713 FL Primary

Addresses

Primary practice location

1610 W Plaza Dr
Tallahassee, FL 32308-5324

Mailing address

3153 Mulberry Park Blvd
Tallahassee, FL 32311-3613
Phone (850) 445-2396

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130911000646 FL Practitioner - Chiropractic 7416191549 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zaideman Natural Health, PLLCGroup PAC ID 9335415322, 2 clinicians

Practice addresses (Care Compare)

1610 W Plaza Dr
Tallahassee, FL 32308-5324
Phone (850) 877-6790

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH10713FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Zaideman Natural Health, PLLC Chiropractor CurrentSince Aug 29, 2017 Accepting new patients
Dr David L Hartz PA Chiropractor CurrentSince Jul 27, 2013 Accepting new patients

Locations

1610 W Plaza Dr
Tallahassee, FL 32308
Phone (850) 787-6790

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": "1344211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344211200000",
    "number": "1124375449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3153 MULBERRY PARK BLVD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323113613",
            "telephone_number": "850-445-2396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 W PLAZA DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085324",
            "telephone_number": "850-877-6790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAIDEMAN",
        "first_name": "MATTHEW",
        "middle_name": "RUSH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-06",
        "last_updated": "2012-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; 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.