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 with the weekly NPPES data releases published by CMS.

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: July 19, 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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941

Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.

119 services14 patients