Individual provider Active NPI

Matthew Wise, D.C.

  • Chiropractor
  • York, PA
National Provider Identifier
1093075780
Registry record updated Oct 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010580 Issued in PA
Practice address
2217 Carlisle Rd
York, PA 17408-4005
Phone
(717) 891-6491
NPI assigned
May 29, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC010580 PA Primary

Addresses

Primary practice location

2217 Carlisle Rd
York, PA 17408-4005

Mailing address

2217 Carlisle Rd
York, PA 17408-4005
Phone (717) 891-6491

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120808000571 PA Practitioner - Chiropractic 6204082175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4075 E Market St
Suite 20
York, PA 17402-5123
Phone (717) 244-8504

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC010580PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Wise Chiropractic LLC Chiropractor CurrentSince Mar 22, 2023 Accepting new patients
Red Lion Chiropractic, Inc. Chiropractor PastSince Feb 6, 2022 Accepting new patients

Locations

4075 E Market St
Ste 20
York, PA 17402
Phone (717) 244-8504

3949 E Market St
York, PA 17402
Phone (717) 718-9393

3949 E Market St
Ste 20
York, PA 17402

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349827200000",
    "number": "1093075780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 CARLISLE RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174084005",
            "telephone_number": "717-891-6491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 CARLISLE RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174084005",
            "telephone_number": "717-891-6491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-29",
        "last_updated": "2012-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.