Individual provider Active NPI

Matthew Majors

  • Registered Dietitian
  • Corbin, KY
National Provider Identifier
1164195988
Registry record updated Oct 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
121378 Issued in KY
Practice address
209 Ky 1629
Corbin, KY 40701-6198
Phone
(606) 344-0956
Fax
(606) 328-7013
NPI assigned
Jul 28, 2021
Last updated
Oct 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 121378 KY Primary

Addresses

Primary practice location

209 Ky 1629
Corbin, KY 40701-6198

Mailing address

209 Ky 1629
Corbin, KY 40701-6198
Phone (606) 344-0956

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

LicenseStateTypeSpecialty
121378KYMDRegistered Dietitian

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1164195988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 KY 1629",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407016198",
            "telephone_number": "606-344-0956",
            "fax_number": "606-328-7013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 KY 1629",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407016198",
            "telephone_number": "606-344-0956",
            "fax_number": "606-328-7013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAJORS",
        "first_name": "MATTHEW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KY",
            "license": "121378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corbin, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.