Active NPI
Matthew Basilio, DC
- Chiropractor
- Fort Collins, CO
National Provider Identifier
1699239020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHR.0007510
- Practice address
- 1015 S Taft Hill Rd Ste F
Fort Collins, CO 80521-4240 - Phone
- (925) 683-5439
- NPI assigned
- Jan 30, 2019
- 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 | CHR.0007510 | CO | Primary |
Addresses
Primary practice location
1015 S Taft Hill Rd Ste F
Fort Collins, CO 80521-4240
Mailing address
1015 S Taft Hill Rd Ste F
Fort Collins, CO 80521-4240
Phone (925) 683-5439
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHR.0007510 | CO | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548806400000",
"number": "1699239020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 S TAFT HILL RD STE F",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805214240",
"telephone_number": "925-683-5439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 S TAFT HILL RD STE F",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805214240",
"telephone_number": "925-683-5439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASILIO",
"first_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-30",
"last_updated": "2019-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "CHR.0007510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.