Matthew L Glass, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH13651 Issued in FL

Practice address

1400 Marsh Landing Pkwy Ste 107
Jacksonville Beach, FL 32250-2492

Phone

(904) 644-3472

NPI assigned

Oct 11, 2012

Last updated

Jun 30, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Spinewell Disc & Joint Centers LLC

  dba Disc Centers of America - Ponte Vedra

  • Chiropractor
  • Jacksonville Beach, FL
  • NPI 1447746219
  Medicare reassignment Authorized official
• Alan Nathans Family Chiropractic Inc

  • Chiropractor
  • Jacksonville, FL
  • NPI 1861659484
  NPD (past)

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1528310877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 MARSH LANDING PKWY STE 107",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322502492",
            "telephone_number": "917-595-9061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 MARSH LANDING PKWY STE 107",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322502492",
            "telephone_number": "904-644-3472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASS",
        "first_name": "MATTHEW",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-11",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X012784-1",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH13651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Ghasseminia
• Francisco Jose Gil, PA
• Samuel Giles
• Danielle Amanda Gill, SLP
• Brad D Gillette, PT
• Jaime Goguen, DC
• Joshua Leo Goldknopf, D.D.S.
• Kristin Lee Gonzalez, DNP
• Jennifer Kathleen Goodermote, LMT
• Bailey Gorman, RDN

• Chiropractor in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.