Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Matthew Wayne Fentress, D.C.

Chiropractor in Ormond Beach, FL · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1619072790

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Registry record

Entity type Individual (Type 1)

Name Dr. Matthew Wayne Fentress

Credential D.C.

Sex Male

Practice address Ormond Beach, FL, 32174

Phone (910) 791-1211

Fax (910) 791-5678

Enumeration date Sep 14, 2006

Last updated in NPPES Jun 29, 2020

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

111N00000X Chiropractor Chiropractic Providers · License 11802 (FL) Primary

111N00000X Chiropractor Chiropractic Providers · License 3163 (NC) Secondary

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	-

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.

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Frequently asked questions

How do I verify Matthew Fentress's NPI record?

Cross-check NPI 1619072790 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1619072790 active?

Yes, as of the latest NPPES snapshot, NPI 1619072790 is active (record last updated 2020-06-29).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-06-29.