Matthew Joseph Fontaine, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

VA0104556931 Issued in VA

Practice address

5105A Backlick Rd
Annandale, VA 22003-6005

Phone

(703) 642-8685

Fax

(703) 642-1507

NPI assigned

Jan 10, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Potomac Physical Medicine

  • Chiropractor
  • Alexandria, VA
  • NPI 1538552781
  NPD Authorized official
• Donald J. Krippendorf PA

  dba Florida Chiropractic Institute

  • Chiropractor
  • St Petersburg, FL
  • NPI 1073609616
  NPD (past)

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1457400145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 RAPPAHANNOCK PL",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220035530",
            "telephone_number": "571-234-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5105A BACKLICK RD",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220036005",
            "telephone_number": "703-642-8685",
            "fax_number": "703-642-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTAINE",
        "first_name": "MATTHEW",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "VA0104556931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• First Home Healthcare LLC
• Richard D Fischer, D.D.S.
• Lisa Marie Fisher, PT
• Sara Cristina Flanigan, RDN
• Focus Dental Specialists (Prestige Dental Specialists)
• Cameron Forbes
• John Paul Forest, DDS DC
• Foundation Fitness of Annandale
• Foundation Fitness of Annandale (Foundation Fitness)
• Annemarie C Francis, ATC

• Chiropractor in Annandale, VA
• Providers in Annandale, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; 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.