Active NPI
Matthews Family Chiropractic PC
- Chiropractor
- Matthews, NC
National Provider Identifier
1164622502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- MATTHEWS FAMILY CHIROPRACTIC PC
- Practice address
- 9808 Northeast Pkwy
Matthews, NC 28105-3742 - Phone
- (704) 845-0699
- Fax
- (704) 841-1808
- NPI assigned
- Jul 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John J Hanna, D.C.
- Title
- Director
- Phone
- (704) 845-0699
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
9808 Northeast Pkwy
Matthews, NC 28105-3742
Mailing address
9808 Northeast Pkwy
Matthews, NC 28105-3742
Phone (704) 845-0699
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890946E | Medicaid | NC | |
| 0846E | Other | NC | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090507000345 | NC | Part B Supplier - Clinic/Group Practice | 3173671864 |
Receives reassigned benefits from 1 practitioner Practice locations: Matthews, NC |
National Provider Directory
National Provider DirectoryLocations
9808 Northeast Pkwy
Matthews, NC 28105
Phone (704) 845-0699
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Matthews, NC
- NPI 1477550457
-
- Chiropractor
- Matthews, NC
- NPI 1205067550
-
- Chiropractor
- Matthews, NC
- NPI 1780236372
-
- Chiropractor
- Charlotte, NC
- NPI 1588765663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185235200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1237248000000",
"number": "1164622502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9808 NORTHEAST PKWY",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281053742",
"telephone_number": "704-845-0699",
"fax_number": "704-841-1808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9808 NORTHEAST PKWY",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281053742",
"telephone_number": "704-845-0699",
"fax_number": "704-841-1808"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MATTHEWS FAMILY CHIROPRACTIC PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-24",
"last_updated": "2009-03-17",
"status": "A",
"authorized_official_last_name": "HANNA",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "704-845-0699",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890946E",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0846E",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Matthews, NC
- Rashi Mathur, OD
- Matthews Child and Family Therapy PLLC
- Matthews Chiropractic Center, Inc.
- Matthews Counseling PLLC
- Matthews Dental Care
- Matthews Health & Rehab Center, LLC
- Matthews Hematology Oncology Associates
- Matthews Infectious Disease Specialists, PLLC
- Matthews Internal Medicine PLLC
- Matthews Physical Healthcare PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2009; 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.