Organization Active NPI

Matt Nirschl D C LLC

  • Chiropractor
  • Ormond Beach, FL
National Provider Identifier
1275675316
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8831 Issued in FL
Legal business name
MATT NIRSCHL D C LLC
Practice address
55 N Old Kings Rd Ste C
Ormond Beach, FL 32174-5175
Phone
(386) 672-6565
NPI assigned
Feb 13, 2007
Last updated
Oct 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Authorized official

Name
Matt R Nirschl, CHNPI 1407947252
Title
Owner
Phone
(386) 672-6565

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8831 FL Primary

Addresses

Primary practice location

55 N Old Kings Rd Ste C
Ormond Beach, FL 32174-5175

Mailing address

55 N Old Kings Rd Ste C
Ormond Beach, FL 32174-5175
Phone (386) 672-6565

Other identifiers 2

IdentifierTypeStateIssuer
76138OtherFLBLUE CROSS BLUE SHIELD
3820763 00MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070222000711 FL Part B Supplier - Clinic/Group Practice 2365544228 Receives reassigned benefits from 1 practitioner
Practice locations: Ormond Beach, FL

National Provider Directory

National Provider Directory

Locations

53 N Old Kings Rd
Ste C
Ormond Beach, FL 32174
Phone (386) 672-6565

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760400000000",
    "number": "1275675316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 N OLD KINGS RD STE C",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745175",
            "telephone_number": "386-672-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 N OLD KINGS RD STE C",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745175",
            "telephone_number": "386-672-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATT NIRSCHL D C LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A",
        "authorized_official_last_name": "NIRSCHL",
        "authorized_official_first_name": "MATT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-672-6565",
        "authorized_official_credential": "CH"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "76138",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3820763 00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.