Organization Active NPI

Gerald R. Mattia D.C., P.a.

  • Chiropractor
  • Orlando, FL
National Provider Identifier
1558523399
Registry record updated Sep 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH2832 Issued in FL
Legal business name
GERALD R. MATTIA D.C., P.A.
Practice address
8915 Conroy Windermere Rd
Orlando, FL 32835-3127
Phone
(407) 909-4788
Fax
(407) 909-1788
NPI assigned
Jul 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2008

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

Authorized official

Name
Dr. Gerald Robert Mattia, D.C.
Title
President
Phone
(407) 909-4788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH2832 FL Primary

Addresses

Primary practice location

8915 Conroy Windermere Rd
Orlando, FL 32835-3127

Mailing address

8915 Conroy Windermere Rd
Orlando, FL 32835-3127
Phone (407) 909-4788

Other names 1

  • Mattia Chiropractic and Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

8915 Conroy Windermere Rd
Orlando, FL 32835
Phone (407) 909-4788

NPI Registry JSON

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1558523399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8915 CONROY WINDERMERE RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328353127",
            "telephone_number": "407-909-4788",
            "fax_number": "407-909-1788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8915 CONROY WINDERMERE RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328353127",
            "telephone_number": "407-909-4788",
            "fax_number": "407-909-1788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD R. MATTIA D.C., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-01",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "MATTIA",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-909-4788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH2832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mattia Chiropractic and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; 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.