Individual provider Active NPI

Curtis Matthew Reynolds, D.C.

  • Chiropractor
  • Ellenton, FL
National Provider Identifier
1609196260
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 9984 Issued in FL
Practice address
7915 U.S. 301 N. Unit 103
Ellenton, FL 34222
Phone
(941) 479-4999
Fax
(941) 479-4998
NPI assigned
Jun 7, 2010
Last updated
Oct 19, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 9984 FL Primary

Addresses

Primary practice location

7915 U.S. 301 N. Unit 103
Ellenton, FL 34222

Mailing address

7915 U.S. 301 N. Unit 103
Ellenton, FL 34222
Phone (941) 479-4999

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100809000297 FL Practitioner - Chiropractic 9335272558 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Indelicato Chiropractic, LLC Chiropractor CurrentSince Sep 18, 2024 Accepting new patients

Locations

407 6th Ave E
Bradenton, FL 34208
Phone (941) 746-2612

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": "1275868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1609196260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7915 U.S. 301 N. UNIT 103",
            "city": "ELLENTON",
            "state": "FL",
            "postal_code": "34222",
            "telephone_number": "941-479-4999",
            "fax_number": "941-479-4998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7915 U.S. 301 N. UNIT 103",
            "city": "ELLENTON",
            "state": "FL",
            "postal_code": "34222",
            "telephone_number": "941-479-4999",
            "fax_number": "941-479-4998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "CURTIS",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-07",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 9984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; 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.