Individual provider Active NPI

Melody Y Matthews, D.C.

  • Chiropractor
  • North Chesterfield, VA
National Provider Identifier
1093997991
Registry record updated Jun 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556440 Issued in VA
Practice address
103 Twinridge Lane
North Chesterfield, VA 23235
Phone
(804) 464-1551
Fax
(804) 592-5400
NPI assigned
Dec 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 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 0104556440 VA Primary

Addresses

Primary practice location

103 Twinridge Lane
North Chesterfield, VA 23235

Mailing address

103 Twinridge Lane
North Chesterfield, VA 23235
Phone (804) 464-1551

Other identifiers 1

IdentifierTypeStateIssuer
1720348352OtherVAORGANIZATION NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080109000162 VA Practitioner - Chiropractic 0345320958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

235 Wadsworth Dr
North Chesterfield, VA 23236-4525
Phone (804) 396-6420

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104556440VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Total Healing Experience Group, LLC Chiropractor CurrentSince Jun 1, 2013 Accepting new patients
Virginia Wellness Associates Inc. Chiropractor Past Accepting new patients
Better Life Chiropractic, LLC Chiropractor Past Accepting new patients

Locations

235 Wadsworth Dr
North Chesterfield, VA 23236
Phone (804) 536-6663

103 Twinridge Ln
North Chesterfield, VA 23235
Phone (804) 464-1551

Organizations & group practices 3

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": "1196640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339113600000",
    "number": "1093997991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 TWINRIDGE LANE",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "23235",
            "telephone_number": "804-464-1551",
            "fax_number": "804-592-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 TWINRIDGE LANE",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "23235",
            "telephone_number": "804-464-1551",
            "fax_number": "804-592-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "MELODY",
        "middle_name": "Y",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-03",
        "last_updated": "2012-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORGANIZATION NPI",
            "identifier": "1720348352",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.