NPIMap

Organization Active NPI

Kenneth M Mattos Ap LLC

  • Acupuncturist
  • Tampa, FL
National Provider Identifier
1740523901
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP2738 Issued in FL
Legal business name
KENNETH M MATTOS AP LLC
Practice address
4912 N Armenia Ave
Tampa, FL 33603-1402
Phone
(813) 871-2950
Fax
(813) 871-5972
NPI assigned
Apr 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Kenneth M Mattos, DOMNPI 1972735389
Title
Owner
Phone
(813) 871-2950

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AP2738 FL Primary

Addresses

Primary practice location

4912 N Armenia Ave
Tampa, FL 33603-1402

Mailing address

4912 N Armenia Ave
Tampa, FL 33603-1402
Phone (813) 871-2950

Other names 1

  • Mattos Medical Group Doing business as

National Provider Directory

National Provider Directory

Locations

4912 N Armenia Ave
Tampa, FL 33603
Phone (813) 353-8775

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1365120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1740523901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4912 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336031402",
            "telephone_number": "813-871-2950",
            "fax_number": "813-871-5972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4912 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336031402",
            "telephone_number": "813-871-2950",
            "fax_number": "813-871-5972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH M MATTOS AP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MATTOS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-871-2950",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP2738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mattos Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.