Matthew C Demetree DC, PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH7803 Issued in FL

Legal business name

MATTHEW C DEMETREE DC, PA

Practice address

3505 S Orlando Dr
Sanford, FL 32773-5609

Phone

(407) 324-8222

Fax

(407) 324-8998

NPI assigned

Mar 14, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Matthew C Demetree, DCNPI 1689772881

Title

President

Phone

(407) 324-8222

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Matthew Charles Demetree, DC

  • Chiropractor
  • Sanford, FL
  • NPI 1689772881
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363219200000",
    "number": "1811238900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 S ORLANDO DR",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327735609",
            "telephone_number": "407-324-8222",
            "fax_number": "407-324-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 S ORLANDO DR",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327735609",
            "telephone_number": "407-324-8222",
            "fax_number": "407-324-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW C DEMETREE DC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-14",
        "last_updated": "2013-03-14",
        "status": "A",
        "authorized_official_last_name": "DEMETREE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-324-8222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leodelyn A Mata
• Manu Thomas Mathew
• Alice Johanie Matias, MD
• Ashley Rose Matos
• Michele May Matteini
• Mayala Corp
• Yudenia Leyva Mayan
• Peter Thomas Mayotte, MD
• Craig Mays
• Gina Mazzarella, LMHC, NCC, TTS

• Chiropractor in Sanford, FL
• Providers in Sanford, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.