Matthew Thomas McCormack, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

33171 Issued in CA

Practice address

130 Descanso Dr
#152
San Jose, CA 95134-1890

Phone

(805) 345-0895

NPI assigned

Feb 20, 2015

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

Enrolled in TX

Enrollment records 1

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 and National Provider Directory roles.

• Jaywhy Inc

  • Chiropractor
  • Keller, TX
  • NPI 1922584598
  Medicare reassignment NPD
• New Beginnings Concierge Service,Inc.

  • Pediatric Chiropractor
  • Fort Worth, TX
  • NPI 1669861415
  NPD (past)

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

{
    "created_epoch": "1424390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464220800000",
    "number": "1972995413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 DESCANSO DR",
            "address_2": "#152",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951341890",
            "telephone_number": "805-345-0895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 DESCANSO DR",
            "address_2": "#152",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951341890",
            "telephone_number": "805-345-0895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMACK",
        "first_name": "MATTHEW",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-20",
        "last_updated": "2016-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Autumn Cade McConnell, M.A., LMFT
• Rebecca L. McConnell, AA, BA, MA
• Timothy Allen McConnell, DAOM
• McCormack Drugs Inc
• Marta McCormack
• Mel David McCormick, AMFT
• Naomi Hideko McCormick, ASW
• Patricia Celia McCormick, B.C.J.
• Ian Ellis McCoy, M.D.
• Kristal Janae McCoy, M.A.

• All providers in San Jose, CA
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; 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.