Active NPI
Manuel Mateus, D.C.
- Chiropractor
- Raleigh, NC
National Provider Identifier
1104096338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3833
- Practice address
- 309 W Millbrook Rd Ste 199
Raleigh, NC 27609-4394 - Phone
- (919) 788-8881
- Fax
- (919) 788-8818
- NPI assigned
- Mar 4, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3833 | NC | Primary |
Addresses
Primary practice location
309 W Millbrook Rd Ste 199
Raleigh, NC 27609-4394
Mailing address
309 W Millbrook Rd Ste 199
Raleigh, NC 27609-4394
Phone (919) 788-8881
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316086366 | Other | NC | GROUP NPI |
| 0859N | Other | NC | BCBS |
| 2346483 | Other | NC | MEDICARE GROUP |
| 509255 | Medicaid | NC | |
| 790201U | Other | NC | MEDICAID GROUP |
| 562092690 | Other | NC | TAX ID |
| 0201U | Other | NC | BCBS GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080429000299 | NC | Practitioner - Chiropractic | 1850479015 | Practice locations: Durham, NC |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3200 Guess Rd
Durham, NC 27705-2647
Phone (919) 477-0950
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3833 | NC | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic Health and Wellness,PLLC | Chiropractor | Past | Accepting new patients |
| Chiropractic Health Services, Inc. | Past | Accepting new patients |
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.
-
- Chiropractor
- Durham, NC
- NPI 1063703619
-
- Orthopedic Chiropractor
- Durham, NC
- NPI 1467583047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232582400000",
"number": "1104096338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 W MILLBROOK RD STE 199",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276094394",
"telephone_number": "919-788-8881",
"fax_number": "919-788-8818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 W MILLBROOK RD STE 199",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276094394",
"telephone_number": "919-788-8881",
"fax_number": "919-788-8818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATEUS",
"first_name": "MANUEL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-04",
"last_updated": "2009-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "3833",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1316086366",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0859N",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "2346483",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "509255",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID GROUP",
"identifier": "790201U",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "562092690",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP",
"identifier": "0201U",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; 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.