Individual provider Active NPI

Matthew Jude Saum, D.C.

  • Chiropractor
  • Palm City, FL
National Provider Identifier
1316239049
Registry record updated May 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4676 Issued in FL
Practice address
2272 SW Racquet Club Dr
Palm City, FL 34990-2609
Phone
(772) 463-4759
NPI assigned
May 13, 2011
Last updated
May 13, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 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 4676 FL Primary

Addresses

Primary practice location

2272 SW Racquet Club Dr
Palm City, FL 34990-2609

Mailing address

2272 SW Racquet Club Dr
Palm City, FL 34990-2609
Phone (772) 463-4759

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4676FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1305244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305244800000",
    "number": "1316239049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2272 SW RACQUET CLUB DR",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349902609",
            "telephone_number": "772-463-4759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2272 SW RACQUET CLUB DR",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349902609",
            "telephone_number": "772-463-4759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUM",
        "first_name": "MATTHEW",
        "middle_name": "JUDE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-13",
        "last_updated": "2011-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "4676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.