Individual provider Active NPI

Matthew D Sibley, DC

  • Chiropractor
  • Delray Beach, FL
National Provider Identifier
1780782656
Registry record updated Dec 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0006786 Issued in FL
Practice address
900 E Atlantic Ave
Suite 6
Delray Beach, FL 33483-6954
Phone
(561) 272-4100
Fax
(561) 272-8702
NPI assigned
Sep 21, 2006
Last updated
Dec 22, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 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 CH0006786 FL Primary

Addresses

Primary practice location

900 E Atlantic Ave
Suite 6
Delray Beach, FL 33483-6954

Mailing address

900 E Atlantic Ave
Suite 6
Delray Beach, FL 33483-6954
Phone (561) 272-4100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110711000567 FL Practitioner - Chiropractic 7618155995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

900 E Atlantic Ave
Suite 6
Delray Beach, FL 33483-6954
Phone (561) 272-4100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH0006786FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew D Sibley DC PA Chiropractor CurrentSince Feb 24, 2011 Accepting new patients

Locations

801 NE 8th St
Delray Beach, FL 33483
Phone (561) 272-4100

900 E Atlantic Ave
Ste 6
Delray Beach, FL 33483
Phone (561) 272-4100

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, 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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419206400000",
    "number": "1780782656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E ATLANTIC AVE",
            "address_2": "SUITE 6",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334836954",
            "telephone_number": "561-272-4100",
            "fax_number": "561-272-8702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E ATLANTIC AVE",
            "address_2": "SUITE 6",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334836954",
            "telephone_number": "561-272-4100",
            "fax_number": "561-272-8702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIBLEY",
        "first_name": "MATTHEW",
        "middle_name": "D",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2014-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0006786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.