Dr. Matthew Wayne Fentress, D.C.
Dr. Matthew Wayne Fentress is a Chiropractor provider (Chiropractor) practicing in Ormond Beach, FL, registered in the NPPES registry with NPI 1619072790 since 2006. The credential DC stands for Doctor of Chiropractic.
✓ Active NPI ✓ Valid NPI checksum Sole proprietor
| NPI | 1619072790 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Matthew Wayne Fentress |
| Credential | D.C. |
| Sex | Male |
| Practice address | Ormond Beach, FL, 32174 |
| Phone | 9107911211 |
| Fax | 9107915678 |
| Enumeration date | 2006-09-14 |
| Last updated in NPPES | 2020-06-29 |
Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 111N00000X | Chiropractor | Primary | 11802 | FL |
| 111N00000X | Chiropractor | Secondary | 3163 | NC |
DC — Doctor of Chiropractic: A licensed chiropractor focusing on musculoskeletal and nervous system disorders. About the DC credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 085XG | Other | NC | BLUE CROSS |
| 5902673 | Medicaid | NC | — |
Copy-ready billing details
Provider: Matthew Fentress, D.C. NPI: 1619072790 Taxonomy: 111N00000X (Chiropractor) Address: Ormond Beach, FL, 32174
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1720053515 | Stand-Up Mri & Diagnostic Center Inc | Organization | Diagnostic Radiology Physician | Ormond Beach, FL |
| 1629183280 | Carol Halal | Individual | Mental Health Counselor | Ormond Beach, FL |
| 1811100514 | Bruce Manne | Individual | Endodontics | Ormond Beach, FL |
| 1457566358 | Donald Hermann | Individual | Dentist | Ormond Beach, FL |
| 1275740227 | Penelope Norton | Individual | Clinical Psychologist | Ormond Beach, FL |
| 1003024506 | Sandra Fuhrmann | Individual | Specialist | Ormond Beach, FL |
| 1114135449 | Natalie Franklin | Individual | Specialist | Ormond Beach, FL |
| 1053529222 | The Ford Group, Lmt | Organization | Legal Medicine | Ormond Beach, FL |
Verify this record
Cross-check NPI 1619072790 against the authoritative CMS record: view Dr. Matthew Wayne Fentress on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Is NPI 1619072790 active?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-06-29.