Active NPI
Matthew Augustine Verstraete, D.C.
- Chiropractor
- Farmington, NM
National Provider Identifier
1780690446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 886
- Practice address
- 2130 Farmington Ave
Farmington, NM 87401-2123 - Phone
- (505) 326-5475
- Fax
- (505) 326-5476
- NPI assigned
- Aug 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 886 | NM | Primary |
Addresses
Primary practice location
2130 Farmington Ave
Farmington, NM 87401-2123
Mailing address
2130 Farmington Ave
Farmington, NM 87401-2123
Phone (505) 326-5475
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 |
|---|---|---|---|
| 886 | NM | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bryce J. Hunter, D.C. P.C. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Farmington, NM
- NPI 1619127966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780690446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2130 FARMINGTON AVE",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874012123",
"telephone_number": "505-326-5475",
"fax_number": "505-326-5476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2130 FARMINGTON AVE",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874012123",
"telephone_number": "505-326-5475",
"fax_number": "505-326-5476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERSTRAETE",
"first_name": "MATTHEW",
"middle_name": "AUGUSTINE",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NM",
"license": "886",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington, NM
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.