Matthew Persons, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5525 Issued in NC

Practice address

5500 McNeely Dr Ste 103
Raleigh, NC 27612-7623

Phone

(757) 708-3648

NPI assigned

Mar 29, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MO, NC2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Hollon Family Chiropractic, LLC

  • Chiropractor
  • Jefferson City, MO
  • NPI 1386088755
  Medicare reassignment

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1154061315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 MCNEELY DR STE 103",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276127623",
            "telephone_number": "757-708-3648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 MCNEELY DR STE 103",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276127623",
            "telephone_number": "757-708-3648"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "751 W Stadium Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Jefferson City",
            "state": "MO",
            "postal_code": "651094776",
            "country_code": "US",
            "telephone_number": "573-636-5433",
            "fax_number": "573-298-6418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERSONS",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-29",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2022010774",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "5525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@libertychiroinstitute.com",
            "affiliation": "N",
            "endpointDescription": "Admin Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5500 McNeely Dr Ste 103",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276127623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Person Street Pharmacy LLC
• Person Street Pharmacy of Raleigh, Inc.
• Latoya Nicole Person, MS
• Maryam Person, ITFS
• Tyshay Person
• Perspective Counseling, PLLC
• Adnan Pervez, MD
• Erin Wilson Pescaro, RN
• Editta Pessima
• Peter B. Van Dyck, MD & Associates, PA

• Chiropractor in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.