Active NPI
Matthew Morris
- Chiropractor
- University Park, FL
National Provider Identifier
1871998740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH 11325
- Practice address
- 8450 Cooper Creek Blvd Ste 104
University Park, FL 34201-2018 - Phone
- (815) 209-6312
- NPI assigned
- Nov 4, 2014
- Sex
- Male
- Sole proprietor
- No
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 | CH 11325 | FL | Primary |
Addresses
Primary practice location
8450 Cooper Creek Blvd Ste 104
University Park, FL 34201-2018
Mailing address
8450 Cooper Creek Blvd
Suite 104
University Park, FL 34201-2018
Phone (941) 822-8828
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 |
|---|---|---|---|
| CH 11325 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452211200000",
"number": "1871998740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8450 COOPER CREEK BLVD",
"address_2": "SUITE 104",
"city": "UNIVERSITY PARK",
"state": "FL",
"postal_code": "342012018",
"telephone_number": "941-822-8828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8450 COOPER CREEK BLVD STE 104",
"city": "UNIVERSITY PARK",
"state": "FL",
"postal_code": "342012018",
"telephone_number": "815-209-6312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "MATTHEW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-11-04",
"last_updated": "2016-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH 11325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in University Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.