DR. MATTHEW WAYNE FENTRESS D.C.
NPI 1619072790
Chiropractor in Ormond Beach, FL

Q: What is Matthew Fentress's NPI number?

The NPI number for Matthew Fentress is 1619072790. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Q: What is Matthew Fentress's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Fentress was last updated on June 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 14, 2006

555 W GRANADA BLVD, STE E6, ORMOND BEACH, FL 32174(910) 791-1211(910) 791-5678 Get Directions Write a Review

NPPES record last updated: June 29, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Matthew Wayne Fentress D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MATTHEW WAYNE FENTRESS D.C. (NPI 1619072790) is an individual chiropractor in Ormond Beach, Florida, licensed in Florida (11802) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1619072790

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. MATTHEW WAYNE FENTRESSCredential: D.C.

Location Address555 W GRANADA BLVD, STE E6Ormond Beach, FL 32174-9402

Mailing Address840 Corbin Park RdNew Smyrna Beach, FL 32168-8424 · (252) 302-1230

Phone(910) 791-1211

Fax(910) 791-5678

Sole ProprietorYes

Enumeration DateSeptember 14, 2006

Last NPPES UpdateJune 29, 2020

NPPES CertifiedJune 29, 2020

✔ NPI 1619072790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

Licenses✔ Licensed in FL · 11802✔ Licensed in NC · 3163

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

555 W GRANADA BLVD, Ormond Beach, FL 32174

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Other Identifiers 2

Medicaid5902673NC

Other085XGNC · Blue Cross

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS SANDRA FUHRMANN L.M.T.

Specialist

555 W GRANADA BLVD, SUITE G6
ORMOND BEACH, FL 32174

Flagler County (386) 677-7123

CAMILA FLORENCIA RAFFAELLINO RBT

Behavior Technician

555 W GRANADA BLVD
ORMOND BEACH, FL 32174

Flagler County (386) 254-8788

AURORA JOY FORD LMT

Mechanotherapist

555 W GRANADA BLVD
ORMOND BEACH, FL 32174

Flagler County (138) 667-7712

THE FORD GROUP, LMT

Legal Medicine

555 W GRANADA BLVD, SUITE G6
ORMOND BEACH, FL 32174

Flagler County (386) 677-7123

MS. NATALIE ELIZABETH FRANKLIN L.M.T

Specialist

555 W GRANADA BLVD
ORMOND BEACH, FL 32174

Flagler County (386) 677-7123

ANDREW DEVRIES

Behavior Analyst

555 W GRANADA BLVD
ORMOND BEACH, FL 32174

Flagler County (386) 677-8880

MR. PATRICK PAUL BRODNIK MA, MS, PHD(C), LMHC

Counselor (Mental Health)

555 W GRANADA BLVD, SUITE B-12
ORMOND BEACH, FL 32174

Flagler County (386) 290-8296

DR. PENELOPE L NORTON PH.D.

Psychologist (Clinical)

555 W GRANADA BLVD, STE. E3
ORMOND BEACH, FL 32174

Flagler County (386) 676-5420

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Fentress's NPI number?

The NPI number for Matthew Fentress is 1619072790. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Where is Matthew Fentress located?

Matthew Fentress practices at 555 W Granada Blvd Ste E6, Ormond Beach, FL 32174. The listed phone number is (910) 791-1211.

What is Matthew Fentress's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Matthew Fentress was last updated on June 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.