Organization Active NPI

Matteo Family Chiropractic, Inc.

Doing business as Matteo Family Chiropractic

  • Nutrition Chiropractor
  • Hilton Head Island, SC
National Provider Identifier
1073723839
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
2524 Issued in SC
Legal business name
MATTEO FAMILY CHIROPRACTIC, INC.
Doing business as
Matteo Family Chiropractic
Practice address
58 Shelter Cove LN
Suite H
Hilton Head Island, SC 29928-3571
Phone
(843) 686-4222
Fax
(843) 686-2148
NPI assigned
May 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Holly A Matteo, D.C.NPI 1316975865
Title
President
Phone
(843) 686-4222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X 2524 SC Primary

Addresses

Primary practice location

58 Shelter Cove LN
Suite H
Hilton Head Island, SC 29928-3571

Mailing address

58 Shelter Cove LN
Suite H
Hilton Head Island, SC 29928-3571
Phone (843) 686-4222

Other identifiers 1

IdentifierTypeStateIssuer
CH2524MedicaidSC

Other names 1

  • Matteo Family Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040812000230 SC Part B Supplier - Clinic/Group Practice 9436121100 Receives reassigned benefits from 1 practitioner
Practice locations: Hilton Head Island, SC

National Provider Directory

National Provider Directory

Locations

4 Northridge Dr
Ste C
Hilton Head Island, SC 29926
Phone (843) 686-4222

58 Shelter Cove Ln
Ste H
Hilton Head Island, SC 29928
Phone (843) 686-4222

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073723839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 SHELTER COVE LN",
            "address_2": "SUITE H",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299283571",
            "telephone_number": "843-686-4222",
            "fax_number": "843-686-2148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 SHELTER COVE LN",
            "address_2": "SUITE H",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299283571",
            "telephone_number": "843-686-4222",
            "fax_number": "843-686-2148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTEO FAMILY CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MATTEO",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-686-4222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "SC",
            "license": "2524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH2524",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Matteo Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hilton Head Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.