Individual provider Active NPI

Matthew Kristopher Delgado, DC

  • Chiropractor
  • Austin, TX
National Provider Identifier
1538679741
Registry record updated Jul 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13582 Issued in TX
Practice address
2612 S Lamar Blvd # a
Austin, TX 78704-4733
Phone
(512) 400-1241
NPI assigned
Oct 3, 2017
Last updated
Jul 13, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 13582 TX Primary

Addresses

Primary practice location

2612 S Lamar Blvd # a
Austin, TX 78704-4733

Mailing address

2612 S Lamar Blvd # a
Austin, TX 78704-4733
Phone (512) 400-1241

Other practice location 1

4036 S LaMar Blvd Ste 600
Austin, TX 78704-7992
Phone (360) 820-8146

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
13582TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562976000000",
    "number": "1538679741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2612 S LAMAR BLVD # A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787044733",
            "telephone_number": "512-400-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2612 S LAMAR BLVD # A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787044733",
            "telephone_number": "512-400-1241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4036 S LaMar Blvd Ste 600",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787047992",
            "country_code": "US",
            "telephone_number": "360-820-8146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELGADO",
        "first_name": "MATTHEW",
        "middle_name": "KRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-03",
        "last_updated": "2019-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.