Individual provider Active NPI

Matthew Charles Crowley, D.C.

  • Chiropractor
  • Oceanside, CA
National Provider Identifier
1699854133
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-25424 Issued in CA
Practice address
465 College Blvd Ste 1
Oceanside, CA 92057-5435
Phone
(760) 630-8400
Fax
(760) 630-8594
NPI assigned
Nov 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-25424 CA Primary

Addresses

Primary practice location

465 College Blvd Ste 1
Oceanside, CA 92057-5435

Mailing address

465 College Blvd Ste 1
Oceanside, CA 92057-5435
Phone (760) 630-8400

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC-25424CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Geller Medical Corporation Chiropractor Past Accepting new patients
Todoroff Medical Corporation Past Accepting new patients
Todoroff and Chapman a Professional Corporation Chiropractor PastSince Oct 17, 2012 Accepting new patients

Organizations & group practices 3

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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699854133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 COLLEGE BLVD STE 1",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920575435",
            "telephone_number": "760-630-8400",
            "fax_number": "760-630-8594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 COLLEGE BLVD STE 1",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920575435",
            "telephone_number": "760-630-8400",
            "fax_number": "760-630-8594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWLEY",
        "first_name": "MATTHEW",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-25424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.