Matthew Charles Fryauf, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5905 Issued in OR

Practice address

130 SW 2ND Ave Ste 101
Canby, OR 97013-4157

Phone

(503) 263-3033

Fax

(503) 263-3023

NPI assigned

Apr 3, 2018

Last updated

Apr 3, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

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  NPD

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522713600000",
    "number": "1922504422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 SW 2ND AVE STE 101",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970134157",
            "telephone_number": "503-263-3033",
            "fax_number": "503-263-3023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 SW 2ND AVE STE 101",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970134157",
            "telephone_number": "503-263-3033",
            "fax_number": "503-263-3023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRYAUF",
        "first_name": "MATTHEW",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-03",
        "last_updated": "2018-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Canby, OR
• Providers in Canby, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.