Matthew T Marry, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104556852 Issued in VA

Practice address

2045 N Franklin St
Christiansburg, VA 24073-1227

Phone

(540) 382-3000

Fax

(540) 381-6345

NPI assigned

Sep 20, 2011

Last updated

Jun 19, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Tuck Chiropractic Corporation

  dba Tuck Chiropractic Clinic

  • Chiropractor
  • Blacksburg, VA
  • NPI 1003987769
  NPD (past)
• Tuck Chiropractic Corporation

  dba Tuck WorkWell

  • Family Medicine Physician
  • Roanoke, VA
  • NPI 1578155610
  NPD (past)

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371600000000",
    "number": "1659654309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1463",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "24068",
            "telephone_number": "540-951-6900",
            "fax_number": "540-951-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 N FRANKLIN ST",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240731227",
            "telephone_number": "540-382-3000",
            "fax_number": "540-381-6345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRY",
        "first_name": "MATTHEW",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-20",
        "last_updated": "2013-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Scott Mann, OPTOMETRIST
• Zeth Destin Manning
• Catherine Jean Mansdoerfer, D.D.S.
• Paul George Mardelli, MD
• Mark a. Ringold, MD Inc. (New River Valley Research Institute)
• Martha L Anderson (Acft)
• Destiny Martin, MD
• Jose Martin, MD
• Martin's Pharmacy of Christiansburg Inc
• Kathryn L Martinson, MSN FNP-BC ARNP

• Chiropractor in Christiansburg, VA
• Providers in Christiansburg, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; 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.