Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MATTHEW S SPIVA, DPM
Active Sole ProprietorDR. MATTHEW S SPIVA, DPM is a Podiatrist healthcare provider located in SHIPROCK, New Mexico. NPI 1003179193 is currently active in the NPPES registry. Verify at CMS.
Podiatrist · SHIPROCK, NM
Registration Details
- NPI Number
- 1003179193
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 22, 2012 (14.133910210582 yrs)
- Last Updated
- Oct 10, 2018
- Licenses
-
8718615-0501 (UT)8718615-0501 (UT)POD387 (NM)POD387 (NM)
- Sole Proprietor
- Yes
Practice Information
- Address
-
US HWY 491 NORTHSHIPROCK, NM, 87420Browse NM providers · Browse ZIP 87420
- Phone
- 5053686001
- Primary Specialty
-
Podiatrist
213E00000X
- Additional Specialty
- Foot & Ankle Surgery Podiatrist
- Additional Specialty
- Foot & Ankle Surgery Podiatrist
- Additional Specialty
- Podiatrist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.