Individual provider Active NPI

Holly A Matteo, D.C.

  • Chiropractor
  • Hilton Head Island, SC
National Provider Identifier
1316975865
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2524 Issued in SC
Practice address
58 Shelter Cove LN
Suite H
Hilton Head Island, SC 29928-3571
Phone
(843) 686-4222
Fax
(843) 686-2148
NPI assigned
Jun 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2524 SC Primary

Addresses

Primary practice location

58 Shelter Cove LN
Suite H
Hilton Head Island, SC 29928-3571

Mailing address

58 Shelter Cove LN
Suite H
Hilton Head Island, SC 29928-3571
Phone (843) 686-4222

Other identifiers 1

IdentifierTypeStateIssuer
CH2524MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2524SCMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316975865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 SHELTER COVE LN",
            "address_2": "SUITE H",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299283571",
            "telephone_number": "843-686-4222",
            "fax_number": "843-686-2148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 SHELTER COVE LN",
            "address_2": "SUITE H",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299283571",
            "telephone_number": "843-686-4222",
            "fax_number": "843-686-2148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTEO",
        "first_name": "HOLLY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH2524",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.