Kenneth M Mattos, A.P., D.O.M.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AP2738 Issued in FL

Practice address

4912 N Armenia Ave
Tampa, FL 33603-1402

Phone

(813) 871-2950

Fax

(813) 871-5972

NPI assigned

Aug 18, 2009

Last updated

Feb 6, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Not 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.

• Kenneth M Mattos Ap LLC

  dba Mattos Medical Group

  • Acupuncturist
  • Tampa, FL
  • NPI 1740523901
  NPD Authorized official
• Mattos Medical Group LLC

  • Clinic/Center
  • Tampa, FL
  • NPI 1265845861
  NPD Authorized official

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486339200000",
    "number": "1972735389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3203 W TAMPA BAY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076615",
            "telephone_number": "813-871-2950",
            "fax_number": "813-871-5972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4912 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336031402",
            "telephone_number": "813-871-2950",
            "fax_number": "813-871-5972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTOS",
        "first_name": "KENNETH",
        "middle_name": "M",
        "credential": "A.P., D.O.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-18",
        "last_updated": "2017-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP2738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thompson Cullen Matthews, M.D.
• Jennifer Lynn Matthiesen, COTA/L
• Heidi Mattison
• Janae Mercedes Mattison, APRN
• Mattos Medical Group LLC
• Kimberly Mattox, PHARM.D.
• Sarah E Mattson, DPT
• Daisy Marinda Matulevich, RN
• Matulka Chiropractic LLC (Ybor City Chiropractic)
• Randall Matulka, DC

• Acupuncturist in Tampa, FL
• Providers in Tampa, FL by specialty
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; 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.