Matthew J Antonelli, DC
Individual provider Active NPI Chiropractor · Mooresville, NC
NPI 1134587173 · NPPES record last updated Dec 30, 2019
Key facts
- NPI
- 1134587173
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 4642 (NC)
- Practice address
- 115 Commons Dr Ste D
Mooresville, NC 28117-9264 - Phone
- (980) 444-0060
- NPI assigned
- Feb 5, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
115 Commons Dr
Suite D
Mooresville, NC 28117-9264
Phone (980) 444-0060
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160614000241 | NC | Practitioner - Chiropractic | 3476844986 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4642 | NC | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Combined Chiropractic & Acupuncture, PLLC | Chiropractor | Current |
Accepting new patients |
| Doyle Chiropractic, PLLC | Chiropractor | Current |
Accepting new patients |
Locations
9630 Sherrill Estates Rd
Ste B
Huntersville, NC 28078
Phone (704) 947-7272
115 Commons Dr
Ste D
Mooresville, NC 28117
Phone (631) 721-7009
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4642 | NC | Yes |
Addresses
Primary practice location
115 Commons Dr Ste D
Mooresville, NC 28117-9264
Mailing address
115 Commons Dr Ste D
Mooresville, NC 28117-9264
Phone (980) 444-0060
Other providers in Mooresville, NC
- Liliah Andrews
- Jessica Marie Angelo
- Angels of Love Respite Home Care
- Anna T. Lukic, DDS, Ms, PA
- Craig Lincoln Anthony
- Lisa S Anzalone
- Jacqueline Grace Aprahamian
- Kathryn Archer
- Architech Sports and Physical Therapy, LLC
- Laura Joan Arigo
All providers in Mooresville, NC · Chiropractor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.