Individual provider Active NPI

Matthew Alan Tracey, D.O.M., A.P.

  • Acupuncturist
  • Fort Lauderdale, FL
National Provider Identifier
1174709612
Registry record updated Mar 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP953 Issued in FL
Practice address
3325 Griffin Rd Ste E176
Ft Lauderdale, FL 33312-5500
Phone
(954) 797-8688
Fax
(954) 688-2526
NPI assigned
Jan 15, 2008
Last updated
Mar 22, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AP953 FL Primary

Addresses

Primary practice location

3325 Griffin Rd Ste E176
Ft Lauderdale, FL 33312-5500

Mailing address

3325 Griffin Rd Ste E176
Ft Lauderdale, FL 33312-5500
Phone (954) 394-9098

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AP953FLMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Acu-Healthcare, LLC Acupuncturist Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269216000000",
    "number": "1174709612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 GRIFFIN RD STE E176",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333125500",
            "telephone_number": "954-394-9098",
            "fax_number": "954-688-2526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 GRIFFIN RD STE E176",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333125500",
            "telephone_number": "954-797-8688",
            "fax_number": "954-688-2526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACEY",
        "first_name": "MATTHEW",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.O.M., A.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-15",
        "last_updated": "2010-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.

Verify at the official NPI Registry.