Individual provider Active NPI

Matthew Ernest Ciambarella, D.C.

  • Chiropractor
  • Cincinnati, OH
National Provider Identifier
1194884957
Registry record updated Aug 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3863 Issued in OH
Practice address
2859 Boudinot Ave
Suite 304
Cincinnati, OH 45238-1606
Phone
(513) 981-6784
Fax
(513) 389-4075
NPI assigned
Dec 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3863 OH Primary

Addresses

Primary practice location

2859 Boudinot Ave
Suite 304
Cincinnati, OH 45238-1606

Mailing address

2859 Boudinot Ave
Suite 304
Cincinnati, OH 45238-1606
Phone (513) 981-6784

Other identifiers 1

IdentifierTypeStateIssuer
2894006MedicaidOH

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
3863OHMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312243200000",
    "number": "1194884957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2859 BOUDINOT AVE",
            "address_2": "SUITE 304",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452381606",
            "telephone_number": "513-981-6784",
            "fax_number": "513-389-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2859 BOUDINOT AVE",
            "address_2": "SUITE 304",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452381606",
            "telephone_number": "513-981-6784",
            "fax_number": "513-389-4075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIAMBARELLA",
        "first_name": "MATTHEW",
        "middle_name": "ERNEST",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-07",
        "last_updated": "2011-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2894006",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; 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.