Organization Active NPI

Matrix Chiropractic, LLC

  • Chiropractor
  • Greenville, SC
National Provider Identifier
1427603166
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MATRIX CHIROPRACTIC, LLC
Practice address
51 Pointe Cir
Greenville, SC 29615-3505
Phone
(864) 263-3008
Fax
(864) 263-3499
NPI assigned
Aug 8, 2019
Last updated
Oct 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Authorized official

Name
Molly Danielle Spohn, DCNPI 1235781196
Title
Chiropractor, Owner
Phone
(863) 263-3008

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

51 Pointe Cir
Greenville, SC 29615-3505

Mailing address

107 Mills Ave
Greenville, SC 29605-4017
Phone (864) 263-3008

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Chirotouch

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191216000943 SC Part B Supplier - Clinic/Group Practice 2062846553 Receives reassigned benefits from 1 practitioner
Practice locations: Greenville, SC

National Provider Directory

National Provider Directory

Locations

51 Pointe Cir
Greenville, SC 29615
Phone (864) 263-3008

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1427603166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 MILLS AVE",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054017",
            "telephone_number": "864-263-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 POINTE CIR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153505",
            "telephone_number": "864-263-3008",
            "fax_number": "864-263-3499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRIX CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-08",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A",
        "authorized_official_last_name": "SPOHN",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_middle_name": "DANIELLE",
        "authorized_official_title_or_position": "CHIROPRACTOR, OWNER",
        "authorized_official_telephone_number": "863-263-3008",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Chirotouch",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "address_1": "51 Pointe Cir",
            "city": "Greenville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296153505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.

Verify at the official NPI Registry.