Active NPI
Matthew Joseph Hill, DC
- Chiropractor
- Daytona Beach, FL
National Provider Identifier
1821154527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH8693
- Practice address
- 543 South Ridgewood Avenue
Daytona Beach, FL 32114-4929 - Phone
- (386) 253-1113
- Fax
- (386) 253-1878
- NPI assigned
- Dec 28, 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 | CH8693 | FL | Primary |
Addresses
Primary practice location
543 South Ridgewood Avenue
Daytona Beach, FL 32114-4929
Mailing address
543 South Ridgewood Avenue
Daytona Beach, FL 32114-4929
Phone (386) 253-1113
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89032 | Other | FL | BCBS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH8693 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821154527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "543 SOUTH RIDGEWOOD AVENUE",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321144929",
"telephone_number": "386-253-1113",
"fax_number": "386-253-1878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "543 SOUTH RIDGEWOOD AVENUE",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321144929",
"telephone_number": "386-253-1113",
"fax_number": "386-253-1878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILL",
"first_name": "MATTHEW",
"middle_name": "JOSEPH",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH8693",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "89032",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Daytona Beach, FL
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.