Individual provider Active NPI

Matthew Anthony Grenda

  • Chiropractor
  • Waco, TX
National Provider Identifier
1982577151
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
16660 Issued in TX
Practice address
5000 W Waco Dr
Waco, TX 76710-7022
Phone
(254) 537-1064
NPI assigned
Sep 24, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 16660 TX Primary

Addresses

Primary practice location

5000 W Waco Dr
Waco, TX 76710-7022

Mailing address

1210 N Old Robinson Rd Unit 204
Robinson, TX 76706-4918

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251030002991 TX Practitioner - Chiropractic 4385133297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Waco Integrated Medical PLLCGroup PAC ID 3274863808, 10 clinicians

Practice addresses (Care Compare)

1139 N Loop
Suite 340
Waco, TX 76705-2486
Phone (254) 799-8343

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16660TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Waco Integrated Medical PLLC CurrentSince Sep 19, 2025 Accepting new patients
Comprehensive Injury Treatment Services PLLC PastSince Sep 19, 2025 Accepting new patients

Locations

518 N Hewitt Dr
Ste A
Hewitt, TX 76643

5000 W Waco Dr
Waco, TX 76710
Phone (254) 537-1064

1139 N Loop 340
Waco, TX 76705
Phone (254) 799-8343

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1758672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1982577151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 N OLD ROBINSON RD UNIT 204",
            "city": "ROBINSON",
            "state": "TX",
            "postal_code": "767064918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 W WACO DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767107022",
            "telephone_number": "254-537-1064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRENDA",
        "first_name": "MATTHEW",
        "middle_name": "ANTHONY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-24",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "16660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.