Organization Active NPI

Matthew N Parris DC PA

  • Chiropractor
  • Vero Beach, FL
National Provider Identifier
1497996334
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8349 Issued in FL
Legal business name
MATTHEW N PARRIS DC PA
Practice address
2601 20TH St Ste a
Vero Beach, FL 32960-6632
Phone
(772) 299-4649
Fax
(772) 299-4651
NPI assigned
Mar 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

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

Authorized official

Name
Dr. Matthew N. Parris, D.C.NPI 1649456930
Title
President
Phone
(772) 299-4649

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH8349 FL Primary
Radiology ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0200X CH8349 FL
Sports Physician ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NS0005X CH8349 FL

Addresses

Primary practice location

2601 20TH St Ste a
Vero Beach, FL 32960-6632

Mailing address

2601 20TH St Ste a
Vero Beach, FL 32960-6632
Phone (772) 299-4649

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090402000211 FL Part B Supplier - Clinic/Group Practice 0042367351 Receives reassigned benefits from 1 practitioner
Practice locations: Vero Beach, FL

National Provider Directory

National Provider Directory

Locations

2601 20th St
Vero Beach, FL 32960
Phone (772) 299-4649

2601 20th St
Ste A
Vero Beach, FL 32960
Phone (772) 299-4649

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": "1237766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319500800000",
    "number": "1497996334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 20TH ST STE A",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606632",
            "telephone_number": "772-299-4649",
            "fax_number": "772-569-9914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 20TH ST STE A",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606632",
            "telephone_number": "772-299-4649",
            "fax_number": "772-299-4651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW N PARRIS DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-23",
        "last_updated": "2011-10-25",
        "status": "A",
        "authorized_official_last_name": "PARRIS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-299-4649",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8349",
            "primary": true
        },
        {
            "code": "111NR0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Radiology",
            "state": "FL",
            "license": "CH8349",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "FL",
            "license": "CH8349",
            "primary": false
        }
    ],
    "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 Oct 25, 2011; 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.