Active NPI
Mateus Ferraz-Souza, D.C.
- Chiropractor
- Saint Paul, MN
National Provider Identifier
1134314586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4992
- Practice address
- 220 Robert St S
Suite 104
Saint Paul, MN 55107-1677 - Phone
- (651) 222-1155
- Fax
- (651) 222-1188
- NPI assigned
- Sep 10, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4992 | MN | Primary |
Addresses
Primary practice location
220 Robert St S
Suite 104
Saint Paul, MN 55107-1677
Mailing address
220 Robert St S
Suite 104
Saint Paul, MN 55107-1677
Phone (651) 222-1155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271808000000",
"number": "1134314586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 ROBERT ST S",
"address_2": "SUITE 104",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551071677",
"telephone_number": "651-222-1155",
"fax_number": "651-222-1188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 ROBERT ST S",
"address_2": "SUITE 104",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551071677",
"telephone_number": "651-222-1155",
"fax_number": "651-222-1188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERRAZ-SOUZA",
"first_name": "MATEUS",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-10",
"last_updated": "2010-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "4992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.