Individual provider Active NPI

Peter V. Matrale, D.C.

  • Chiropractor
  • Fort Lauderdale, FL
National Provider Identifier
1700950524
Registry record updated Jan 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9017 Issued in FL
Practice address
4640 N Federal Hwy
Suite D
Fort Lauderdale, FL 33308-5205
Phone
(954) 267-9963
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH9017 FL Primary

Addresses

Primary practice location

4640 N Federal Hwy
Suite D
Fort Lauderdale, FL 33308-5205

Mailing address

4640 N Federal Hwy
Suite D
Fort Lauderdale, FL 33308-5205

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
CH9017FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lori Kindle PA Chiropractor Past Accepting new patients
Athens Chiropractic & Therapy Chiropractor Past Accepting new patients
Arrowhead Clinic, Inc. Chiropractor Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390521600000",
    "number": "1700950524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4640 N FEDERAL HWY",
            "address_2": "SUITE D",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333085205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 N FEDERAL HWY",
            "address_2": "SUITE D",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333085205",
            "telephone_number": "954-267-9963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATRALE",
        "first_name": "PETER",
        "middle_name": "V.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2014-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2014; 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.