NPIMap

Organization Active NPI

Matthew Ross Egbert DC Inc

  • Chiropractor
  • Santa Maria, CA
National Provider Identifier
1235522152
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC29123 Issued in CA
Legal business name
MATTHEW ROSS EGBERT DC INC
Practice address
3596 Skyway Dr Ste B
Santa Maria, CA 93455-2514
Phone
(805) 614-7820
Fax
(805) 614-7823
NPI assigned
Mar 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Authorized official

Name
Matthew Ross Egbert, DC
Title
President
Phone
(805) 614-7820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC29123 CA Primary

Addresses

Primary practice location

3596 Skyway Dr Ste B
Santa Maria, CA 93455-2514

Mailing address

3596 Skyway Dr Ste B
Santa Maria, CA 93455-2514
Phone (805) 614-7820

Other identifiers 1

IdentifierTypeStateIssuer
1205806874OtherCANPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Chirotouch Direct

National Provider Directory

National Provider Directory

Locations

3596 Skyway Dr
Ste B
Santa Maria, CA 93455
Phone (805) 614-7820

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659484800000",
    "number": "1235522152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3596 SKYWAY DR STE B",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934552514",
            "telephone_number": "805-614-7820",
            "fax_number": "805-614-7823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3596 SKYWAY DR STE B",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934552514",
            "telephone_number": "805-614-7820",
            "fax_number": "805-614-7823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW ROSS EGBERT DC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-17",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A",
        "authorized_official_last_name": "EGBERT",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-614-7820",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1205806874",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Chirotouch",
            "affiliation": "N",
            "endpointDescription": "software",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3596 Skyway Dr Ste B",
            "city": "Santa Maria",
            "state": "CA",
            "country_code": "US",
            "postal_code": "934552514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.