Organization Active NPI

Matthew W. Ford, DC, PC

  • Chiropractor
  • Oklahoma City, OK
National Provider Identifier
1356596589
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3477 Issued in OK
Legal business name
MATTHEW W. FORD, DC, PC
Practice address
4334 N Meridian Ave
Oklahoma City, OK 73112-2400
Phone
(405) 843-5757
Fax
(405) 208-8277
NPI assigned
Dec 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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

Authorized official

Name
Dr. Matthew Wayne Ford, DCNPI 1346211943
Title
President/Owner
Phone
(405) 843-5757

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3477 OK Primary

Addresses

Primary practice location

4334 N Meridian Ave
Oklahoma City, OK 73112-2400

Mailing address

4334 N Meridian Ave
Oklahoma City, OK 73112-2400
Phone (405) 843-5757

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090410000181 OK Part B Supplier - Clinic/Group Practice 7719034610 Receives reassigned benefits from 1 practitioner
Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory

Locations

3738 NW 50th St
Oklahoma City, OK 73112
Phone (405) 843-5757

4334 N Meridian Ave
Oklahoma City, OK 73112
Phone (405) 843-5757

4301 NW 63rd St
Ste 102
Oklahoma City, OK 73116
Phone (405) 286-9090

Practitioners & affiliated clinicians

Practitioners 2

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": "1228176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570579200000",
    "number": "1356596589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4334 N MERIDIAN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731122400",
            "telephone_number": "405-843-5757",
            "fax_number": "405-208-8277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4334 N MERIDIAN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731122400",
            "telephone_number": "405-843-5757",
            "fax_number": "405-208-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW W. FORD, DC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-02",
        "last_updated": "2019-10-09",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "405-843-5757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; 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.