Individual provider Active NPI

Matthew N Parris, D.C.

  • Chiropractor
  • Vero Beach, FL
National Provider Identifier
1649456930
Registry record updated Jan 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 8349 Issued in FL
Practice address
1867 20TH Ave
Vero Beach, FL 32960-3573
Phone
(772) 569-0830
Fax
(772) 569-9914
NPI assigned
Jan 16, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2008

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 8349 FL Primary

Addresses

Primary practice location

1867 20TH Ave
Vero Beach, FL 32960-3573

Mailing address

1867 20TH Ave
Vero Beach, FL 32960-3573
Phone (772) 569-0830

Other identifiers 1

IdentifierTypeStateIssuer
2220994OtherFLFIRST HEALTH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090402000209 FL Practitioner - Chiropractic 9133276447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2601 20TH St
Suite a
Vero Beach, FL 32960-6632

2601 20TH St a
Vero Beach, FL 32960-6632
Phone (772) 299-4649

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH 8349FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew N Parris DC PA Chiropractor CurrentSince Feb 12, 2009 Accepting new patients
Bryan Wells, DC LLC Past Accepting new patients

Locations

2601 20th St
Ste A
Vero Beach, FL 32960
Phone (772) 299-4649

1867 20th Ave
Vero Beach, FL 32960
Phone (772) 569-0830

2601 20th St
Vero Beach, FL 32960
Phone (772) 299-4649

Organizations & group practices 2

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": "1200441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200441600000",
    "number": "1649456930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1867 20TH AVE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329603573",
            "telephone_number": "772-569-0830",
            "fax_number": "772-569-9914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1867 20TH AVE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329603573",
            "telephone_number": "772-569-0830",
            "fax_number": "772-569-9914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRIS",
        "first_name": "MATTHEW",
        "middle_name": "N",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-16",
        "last_updated": "2008-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 8349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "2220994",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.