Individual provider Active NPI

Matthew Pappicco, DC

  • Chiropractor
  • Lancaster, SC
National Provider Identifier
1346778164
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR009874 Issued in GA
Practice address
691 Lancaster Byp E
Lancaster, SC 29720-4727
Phone
(803) 419-8700
NPI assigned
May 24, 2017
Last updated
Oct 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR009874 GA Primary

Addresses

Primary practice location

691 Lancaster Byp E
Lancaster, SC 29720-4727

Mailing address

961 N Main St # 212
Lancaster, SC 29720-2188
Phone (201) 417-7655

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180109002017 SC Practitioner - Chiropractic 5092074542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

691 Lancaster Byp E
Lancaster, SC 29720-4727
Phone (803) 416-2990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR009874GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Vital Steps Chiropractic LLC Chiropractor CurrentSince Mar 29, 2022 Accepting new patients

Locations

691 Lancaster Byp E
Lancaster, SC 29720
Phone (201) 417-7655

961 N Main St
Lancaster, SC 29720
Phone (704) 242-5661

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1495584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1346778164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "961 N MAIN ST # 212",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297202188",
            "telephone_number": "201-417-7655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "691 LANCASTER BYP E",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297204727",
            "telephone_number": "803-419-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPPICCO",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-24",
        "last_updated": "2021-10-06",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.