Individual provider Active NPI

Nicholas John Muthart, D.C.

  • Chiropractor
  • Vero Beach, FL
National Provider Identifier
1366791956
Registry record updated Aug 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10404 Issued in FL
Practice address
2801 Ocean Dr
Suite 205
Vero Beach, FL 32963-2005
Phone
(772) 617-2185
NPI assigned
Aug 29, 2012
Last updated
Aug 8, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH10404 FL Primary

Addresses

Primary practice location

2801 Ocean Dr
Suite 205
Vero Beach, FL 32963-2005

Mailing address

2801 Ocean Dr
Suite 205
Vero Beach, FL 32963-2005
Phone (772) 617-2185

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
Vero Spine & Sport Rehab Chiropractor PastSince Aug 1, 2016 Accepting new patients
Nicholas J Muthart, DC Chiropractor PastSince Aug 1, 2016 Accepting new patients
Nicholas J. Muthart, DC Chiropractor PastSince Aug 1, 2016 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470614400000",
    "number": "1366791956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 OCEAN DR",
            "address_2": "SUITE 205",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329632005",
            "telephone_number": "772-617-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 OCEAN DR",
            "address_2": "SUITE 205",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329632005",
            "telephone_number": "772-617-2185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTHART",
        "first_name": "NICHOLAS",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-29",
        "last_updated": "2016-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; 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.