Matthew L Powell, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1158 Issued in MS

Practice address

826 Hwy 90
Bay St Louis, MS 39520-2701

Phone

(228) 467-1018

Fax

(228) 467-4608

NPI assigned

Jan 29, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2009

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• LA PPO C-SNP

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.

• M Powell LLC

  • Chiropractor
  • Bay St Louis, MS
  • NPI 1316390511
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1264723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277164800000",
    "number": "1114259249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 HWY 90",
            "city": "BAY ST LOUIS",
            "state": "MS",
            "postal_code": "395202701",
            "telephone_number": "228-467-1018",
            "fax_number": "228-467-4608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 HWY 90",
            "city": "BAY ST LOUIS",
            "state": "MS",
            "postal_code": "395202701",
            "telephone_number": "228-467-1018",
            "fax_number": "228-467-4608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "MATTHEW",
        "middle_name": "L",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-29",
        "last_updated": "2010-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "1158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pharmacy in the Bay,LLC
• Barry Pickreign
• Ansonya Renee Piernas
• Santana Polk, PCMHT
• Denise Elaine Powell, MD
• William L Powell Jr., D.C.
• Erin Quave, RD
• Angela Rainey
• Red Stick Recovery LLC
• David Millard Rimmer III, M.D.

• Chiropractor in Bay St Louis, MS
• Providers in Bay St Louis, MS by specialty
• Chiropractor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; 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.