Active NPI
Matthew Connor
- Chiropractor
- Jacksonville, FL
National Provider Identifier
1144984196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH13775
- Practice address
- 10400 San Jose Blvd
Jacksonville, FL 32257-6359 - Phone
- (904) 683-9397
- NPI assigned
- Oct 26, 2021
- 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 | CH13775 | FL | Primary |
Addresses
Primary practice location
10400 San Jose Blvd
Jacksonville, FL 32257-6359
Mailing address
8283 Baymeadows Rd E Apt 2385
Jacksonville, FL 32256-3082
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Chiropractic Health Center Inc | Chiropractor | Current | Accepting new patients |
Locations
10400 San Jose Blvd
Ste 4
Jacksonville, FL 32257
Phone (904) 580-6957
Organizations & group practices 1
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.
-
- Chiropractor
- Jacksonville, FL
- NPI 1437660891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635206400000",
"number": "1144984196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8283 BAYMEADOWS RD E APT 2385",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322563082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10400 SAN JOSE BLVD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322576359",
"telephone_number": "904-683-9397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNOR",
"first_name": "MATTHEW",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-10-26",
"last_updated": "2021-10-26",
"certification_date": "2021-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH13775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.