Individual provider Active NPI

Matthew Alan Nelson, D.C.

  • Chiropractor
  • Chapin, SC
National Provider Identifier
1225276918
Registry record updated Feb 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3420 Issued in SC
Practice address
510 Columbia Ave
Chapin, SC 29036-9424
Phone
(803) 345-3466
NPI assigned
Feb 3, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3420 SC Primary

Addresses

Primary practice location

510 Columbia Ave
Chapin, SC 29036-9424

Mailing address

PO Box 366
Chapin, SC 29036-0366
Phone (803) 345-3466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090428000362 SC Practitioner - Chiropractic 8022166263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

200 Clark St
Chapin, SC 29036-8633
Phone (803) 345-3466

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3420SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nelson Chiropractic Care LLC. CurrentSince Feb 4, 2009 Accepting new patients

Locations

510 Columbia Ave
Chapin, SC 29036
Phone (803) 345-0334

200 Clark St
Chapin, SC 29036
Phone (803) 345-3170

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517529600000",
    "number": "1225276918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366",
            "city": "CHAPIN",
            "state": "SC",
            "postal_code": "290360366",
            "telephone_number": "803-345-3466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 COLUMBIA AVE",
            "city": "CHAPIN",
            "state": "SC",
            "postal_code": "290369424",
            "telephone_number": "803-345-3466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "MATTHEW",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-03",
        "last_updated": "2018-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapin, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2018; 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.