Individual provider Active NPI

Matthew Duray, DC

  • Chiropractor
  • Johnstown, PA
National Provider Identifier
1518330307
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC011230 Issued in PA
Practice address
969 Eisenhower Blvd
Ste L
Johnstown, PA 15904
Phone
(814) 262-0400
Fax
(814) 262-0400
NPI assigned
Nov 3, 2015
Last updated
Mar 27, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC011230 PA Primary

Addresses

Primary practice location

969 Eisenhower Blvd
Ste L
Johnstown, PA 15904

Mailing address

969 Eisenhower Blvd
Ste L
Johnstown, PA 15904
Phone (814) 262-0400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170621001773 PA Practitioner - Chiropractic 8628346384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Synergy Chiropractic of Johnstown PCGroup PAC ID 6103194840, 3 clinicians

Practice addresses (Care Compare)

334 Budfield St
Suite 100
Johnstown, PA 15904-3345
Phone (814) 262-0400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC011230PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Chiropractic of Johnstown PC Chiropractor CurrentSince Mar 1, 2017 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Procare PT LP PastSince Apr 9, 2017 Accepting new patients

Locations

334 Budfield St
Ste 100
Johnstown, PA 15904
Phone (814) 262-0400

969 Eisenhower Blvd
Ste L
Johnstown, PA 15904
Phone (814) 262-0400

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": "1446508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490572800000",
    "number": "1518330307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969 EISENHOWER BLVD",
            "address_2": "STE L",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "15904",
            "telephone_number": "814-262-0400",
            "fax_number": "814-262-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 EISENHOWER BLVD",
            "address_2": "STE L",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "15904",
            "telephone_number": "814-262-0400",
            "fax_number": "814-262-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURAY",
        "first_name": "MATTHEW",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-03",
        "last_updated": "2017-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.