Matthew Anthony Pennetti, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHR.0007743 Issued in CO

Practice address

5956 S Holly St
Greenwood Village, CO 80111-4221

Phone

(720) 676-6440

NPI assigned

May 14, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2014

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Prime Chiropractic Inc

  • Chiropractor
  • Greenwood Village, CO
  • NPI 1396634184
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526256000000",
    "number": "1447740691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5956 S HOLLY ST",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801114221",
            "telephone_number": "720-676-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5956 S HOLLY ST",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801114221",
            "telephone_number": "720-676-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNETTI",
        "first_name": "MATTHEW",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-14",
        "last_updated": "2018-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0007743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Peleg, BCBA
• James M Pellerin, MD
• Christopher Peloquin, DPT
• Pelvic Symphony PT
• Sharon Marie Penna, RN
• David S Pennington, MD
• Matthew Pennington
• Stephanie Lynn Percich, MS, CGC
• Gisella Maria Pere, MD
• Cristian Perez Carrillo

• Chiropractor in Greenwood Village, CO
• Providers in Greenwood Village, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.