Active NPI
Matthew Thomas Jacobs, DC
- Chiropractor
- Mount Airy, MD
National Provider Identifier
1750872669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- S03977
- Practice address
- 603 E Ridgeville Blvd
Mount Airy, MD 21771-5249 - Phone
- (301) 829-4040
- NPI assigned
- May 25, 2018
- Last updated
- May 25, 2018
- 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 | S03977 | MD | Primary |
Addresses
Primary practice location
603 E Ridgeville Blvd
Mount Airy, MD 21771-5249
Mailing address
10227 Fountain School Rd
Union Bridge, MD 21791-7914
Phone (443) 821-4948
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527206400000",
"number": "1750872669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10227 FOUNTAIN SCHOOL RD",
"city": "UNION BRIDGE",
"state": "MD",
"postal_code": "217917914",
"telephone_number": "443-821-4948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 E RIDGEVILLE BLVD",
"city": "MOUNT AIRY",
"state": "MD",
"postal_code": "217715249",
"telephone_number": "301-829-4040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBS",
"first_name": "MATTHEW",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-25",
"last_updated": "2018-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MD",
"license": "S03977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Airy, MD
- Integrative Pathways Counseling LLC
- Windy Sue Irwin, PHARM. D.
- Lillian L Jackson, LCPC
- Ashlyn Michelle Jacob, LCSW-C
- Kelly Jacobs
- Jessica Janisheski, CRNP
- Jen Acupuncture, LLC
- Sara Louise Joe, PHARMD
- Johns Hopkins Regional Physicians LLC (JHRP-205 Center St Ste 100-Provider Type: 20 Physician)
- Johns Hopkins Regional Physicians LLC (JHRP-205 Center St Ste 100-Provider Type: 19 Audiology)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.