Organization Active NPI

Matthew T Piazza Chiropractic PC

  • Chiropractor
  • Redwood City, CA
National Provider Identifier
1851857049
Registry record updated Jul 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MATTHEW T PIAZZA CHIROPRACTIC PC
Practice address
200 Main St
Redwood City, CA 94063-1751
Phone
(650) 366-2211
Fax
(650) 366-2351
NPI assigned
Feb 13, 2019
Last updated
Jul 5, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2019

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

Authorized official

Name
Dr. Matthew Piazza, DCNPI 1114063401
Title
Owner
Phone
(650) 366-2211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

200 Main St
Redwood City, CA 94063-1751

Mailing address

200 Main St
Redwood City, CA 94063-1751
Phone (650) 366-2211

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190625001293 CA Part B Supplier - Clinic/Group Practice 1052645017 Receives reassigned benefits from 2 practitioners
Practice locations: Redwood City, CA

National Provider Directory

National Provider Directory

Locations

200 Main St
Redwood City, CA 94063
Phone (650) 366-2100

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562284800000",
    "number": "1851857049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MAIN ST",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631751",
            "telephone_number": "650-366-2211",
            "fax_number": "650-366-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MAIN ST",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631751",
            "telephone_number": "650-366-2211",
            "fax_number": "650-366-2351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW T PIAZZA CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-13",
        "last_updated": "2019-07-05",
        "status": "A",
        "authorized_official_last_name": "PIAZZA",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-366-2211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2019; 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.