JPB Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3048 Issued in NC

Legal business name

JPB CHIROPRACTIC LLC

Practice address

941 S Fifth St
Mebane, NC 27302-3240

Phone

(919) 563-0000

Fax

(919) 563-0063

NPI assigned

Nov 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Craig Matthew Matteo, DC

Title

Associate

Phone

(919) 563-0000

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235201476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 S FIFTH ST",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273023240",
            "telephone_number": "919-563-0000",
            "fax_number": "919-563-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 S FIFTH ST",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273023240",
            "telephone_number": "919-563-0000",
            "fax_number": "919-563-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JPB CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MATTEO",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "ASSOCIATE",
        "authorized_official_telephone_number": "919-563-0000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89085GX",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.