Individual provider Active NPI

Matthew Feriancek, D.C.

  • Chiropractor
  • Waconia, MN
National Provider Identifier
1215308465
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6105 Issued in MN
Practice address
9360 Oak Ave
Waconia, MN 55387-9422
Phone
(952) 466-6533
NPI assigned
Oct 14, 2015
Last updated
Jun 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6105 MN Primary

Addresses

Primary practice location

9360 Oak Ave
Waconia, MN 55387-9422

Mailing address

9360 Oak Ave
Waconia, MN 55387-9422
Phone (612) 807-4440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190104000137 MN Practitioner - Chiropractic 4688910110 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hopkins Health and Wellness Center PA Chiropractor CurrentSince Jun 26, 2023 Accepting new patients
Ridgeview Clinics PastSince May 19, 2022 Accepting new patients
Lifeclinic PA Past Accepting new patients
Precision Chiropractic & Wellness, PLLC Chiropractor PastSince Feb 6, 2016 Accepting new patients
Movewell Chiropractc & Wellness Chiropractor PastSince Jun 8, 2025 Accepting new patients

Locations

15 8th Ave N
Hopkins, MN 55343
Phone (952) 933-5085

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 5

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": "1444780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1215308465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9360 OAK AVE",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553879422",
            "telephone_number": "612-807-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9360 OAK AVE",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553879422",
            "telephone_number": "952-466-6533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERIANCEK",
        "first_name": "MATTHEW",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-14",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waconia, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; 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.

Verify at the official NPI Registry.