Individual provider Active NPI

Sulis Marie Matos Reyes, DC

  • Chiropractor
  • Marietta, GA
National Provider Identifier
1649857228
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR010430 Issued in GA
Practice address
2013 Powers Ferry Rd SE Apt a
Marietta, GA 30067-5229
Phone
(787) 459-7357
NPI assigned
Mar 28, 2021
Last updated
Dec 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR010430 GA Primary

Addresses

Primary practice location

2013 Powers Ferry Rd SE Apt a
Marietta, GA 30067-5229

Mailing address

2013 Powers Ferry Rd SE Apt a
Marietta, GA 30067-5229
Phone (787) 459-7357

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230429000212 TX Practitioner - Chiropractic 2769847516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zenith Chiropractic PLLCGroup PAC ID 2769713643, 3 clinicians

Practice addresses (Care Compare)

6407 S Cooper St
Suite 133
Arlington, TX 76001-5813
Phone (972) 210-0033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR010430GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Zenith Chiropractic PLLC CurrentSince Apr 19, 2023 Accepting new patients
Zenith Chiropractic PLLC Chiropractor CurrentSince Apr 19, 2023 Accepting new patients
Chiro-Dynamics Spine & Joints Rehab LLC Chiropractor PastSince May 12, 2024 Accepting new patients
Community Urgent Care, LLC Past Accepting new patients

Locations

6407 S Cooper St
Ste 133
Arlington, TX 76001
Phone (817) 472-7601

16100 State Highway 121
Ste 110
Frisco, TX 75035
Phone (470) 417-5504

800 Forest Oaks Ln
Ste B
Hurst, TX 76053
Phone (972) 210-0033

Organizations & group practices 4

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": "1616889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1649857228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2013 POWERS FERRY RD SE APT A",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300675229",
            "telephone_number": "787-459-7357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2013 POWERS FERRY RD SE APT A",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300675229",
            "telephone_number": "787-459-7357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOS REYES",
        "first_name": "SULIS",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-28",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; 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.