Active NPI
Matthew David Ellender, D.C.
- Chiropractor
- Metairie, LA
National Provider Identifier
1639473796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1524
- Practice address
- 747 Veterans Memorial Blvd
Metairie, LA 70005-2803 - Phone
- (504) 832-3937
- Fax
- (504) 832-3983
- NPI assigned
- Jan 4, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1524 | LA | Primary |
Addresses
Primary practice location
747 Veterans Memorial Blvd
Metairie, LA 70005-2803
Mailing address
747 Veterans Memorial Blvd
Metairie, LA 70005-2803
Phone (504) 832-3937
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1524 | LA | MD | Blind Rehabilitation Specialist/Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brien Chiropractic Clinic of Kenner | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Kenner, LA
- NPI 1952840589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294099200000",
"number": "1639473796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "747 VETERANS MEMORIAL BLVD",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700052803",
"telephone_number": "504-832-3937",
"fax_number": "504-832-3983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "747 VETERANS MEMORIAL BLVD",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700052803",
"telephone_number": "504-832-3937",
"fax_number": "504-832-3983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLENDER",
"first_name": "MATTHEW",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-01-04",
"last_updated": "2011-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "LA",
"license": "1524",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.