Individual provider Active NPI

Matthew Hunter Cheshire, D.C.

  • Chiropractor
  • Pompano Beach, FL
National Provider Identifier
1306805494
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH4550 Issued in FL
Practice address
4 NE 4TH Ave
Pompano Beach, FL 33060-6630
Phone
(954) 943-1044
Fax
(954) 943-1014
NPI assigned
Mar 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH4550 FL Primary

Addresses

Primary practice location

4 NE 4TH Ave
Pompano Beach, FL 33060-6630

Mailing address

4 NE 4TH Ave
Pompano Beach, FL 33060-6630
Phone (954) 943-1044

Other identifiers 1

IdentifierTypeStateIssuer
4367624OtherFLAETNA

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Medical Center, Inc. CurrentSince Jul 30, 2019 Accepting new patients

Locations

4 NE 4th Ave
Pompano Beach, FL 33060
Phone (754) 222-6642

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196208000000",
    "number": "1306805494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 NE 4TH AVE",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330606630",
            "telephone_number": "954-943-1044",
            "fax_number": "954-943-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 NE 4TH AVE",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330606630",
            "telephone_number": "954-943-1044",
            "fax_number": "954-943-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHESHIRE",
        "first_name": "MATTHEW",
        "middle_name": "HUNTER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2007-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH4550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4367624",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.