Individual provider Active NPI

Matt R Nirschl, DC

  • Chiropractor
  • Ormond Beach, FL
National Provider Identifier
1407947252
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8831 Issued in FL
Practice address
55 N Old Kings Rd Ste C
Ormond Beach, FL 32174-5175
Phone
(386) 672-6565
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
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

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 1

IdentifierTypeStateIssuer
3820763 00MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070222000681 FL Practitioner - Chiropractic 2567564412 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH8831FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Matt Nirschl D C LLC Chiropractor CurrentSince Sep 11, 2006 Accepting new patients

Locations

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

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

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1407947252",
    "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": {
        "last_name": "NIRSCHL",
        "first_name": "MATT",
        "middle_name": "R",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.