Active NPI
Matthew R Roe, D.C.
- Chiropractor
- Winter Garden, FL
National Provider Identifier
1447483763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH 9787
- Practice address
- 213 S Dillard St
Suite 130
Winter Garden, FL 34787-3596 - Phone
- (770) 990-2175
- NPI assigned
- Sep 2, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH 9787 | FL | Primary |
Addresses
Primary practice location
213 S Dillard St
Suite 130
Winter Garden, FL 34787-3596
Mailing address
213 S Dillard St
Suite 130
Winter Garden, FL 34787-3596
Phone (770) 990-2175
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100204000254 | FL | Practitioner - Chiropractic | 9234272808 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH 9787 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251849600000",
"number": "1447483763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 S DILLARD ST",
"address_2": "SUITE 130",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347873596",
"telephone_number": "770-990-2175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "213 S DILLARD ST",
"address_2": "SUITE 130",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347873596",
"telephone_number": "770-990-2175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROE",
"first_name": "MATTHEW",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-02",
"last_updated": "2009-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH 9787",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winter Garden, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; 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.