Active NPI
Matthew David Salas Geronimo, DC
- Chiropractor
- Orlando, FL
National Provider Identifier
1154037109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 14371
- Practice address
- 6735 Conroy Rd Ste 211
Orlando, FL 32835-3571 - Phone
- (407) 723-8142
- NPI assigned
- Jan 24, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 | 14371 | FL | Primary |
Addresses
Primary practice location
6735 Conroy Rd Ste 211
Orlando, FL 32835-3571
Mailing address
6563 Rosecliff Dr Apt 100
Orlando, FL 32835-2928
Phone (407) 982-0845
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14371 | FL | MD | Doula |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674518400000",
"number": "1154037109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6563 ROSECLIFF DR APT 100",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328352928",
"telephone_number": "407-982-0845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6735 CONROY RD STE 211",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328353571",
"telephone_number": "407-723-8142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERONIMO",
"first_name": "MATTHEW DAVID",
"middle_name": "SALAS",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-01-24",
"last_updated": "2023-01-24",
"certification_date": "2023-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "FL",
"license": "14371",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.