Matthew Thane Bryenton, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

30159 Issued in CA

Practice address

12575 Newport Ave
C
Tustin, CA 92780-2451

Phone

(714) 544-1355

Fax

(714) 544-1366

NPI assigned

Jan 25, 2011

Sex

Male

Sole proprietor

Yes

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

Specialty

Chiropractic

Education

Life Chiropractic College - West, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bryenton Family Chiropractic PC

  • Chiropractor
  • Tustin, CA
  • NPI 1134050297
  NPD Authorized official

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

{
    "created_epoch": "1295913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392681600000",
    "number": "1679878425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12575 NEWPORT AVE",
            "address_2": "C",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927802451",
            "telephone_number": "714-544-1355",
            "fax_number": "714-544-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12575 NEWPORT AVE",
            "address_2": "C",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927802451",
            "telephone_number": "714-544-1355",
            "fax_number": "714-544-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYENTON",
        "first_name": "MATTHEW",
        "middle_name": "THANE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-25",
        "last_updated": "2014-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "30159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Brown, O.D.
• Dawn L Bruner, MD
• Lietta Diana Brutsche, CADC II
• Cheridan Bryant
• Bryenton Family Chiropractic PC
• Lennox Travis Buchanan, M.S., LMFT, LAADC
• Meghan Patricia Buchanan
• Alexis Villanueva Buenaventura
• Khuong Anh Bui, DR
• Kim-Anh Bui, PHARM D

• Chiropractor in Tustin, CA
• Providers in Tustin, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.