Matthew Budavich, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4942 Issued in NC

Practice address

10210 Prosperity Park Dr Ste 400
Charlotte, NC 28269-2666

Phone

(757) 755-5565

NPI assigned

Aug 30, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Virginia Chiropractic & Wellness

  • Chiropractor
  • Fort Monroe, VA
  • NPI 1386163368
  NPD Authorized official
• Comber Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Williamsburg, VA
  • NPI 1689769473
  NPD

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1578019576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1248 ROANOKE AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282056340",
            "telephone_number": "757-755-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10210 PROSPERITY PARK DR STE 400",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282692666",
            "telephone_number": "757-755-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDAVICH",
        "first_name": "MATTHEW",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-30",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557370",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Buckner LTD Co
• Callie Reed Buckner, LCSWA
• Kimberly Beth Buckner, DNP
• Sharon Denise Buckner, LPC-P-LCAS
• Olivia Erin Buckoski, PHARMD
• Erin E Budd, PT
• Mackenzie Paige Budd
• Brian G Buddendeck, PAC
• Tiffany Budroe, FNP
• Christopher Kevin Buehrig, MD

• Chiropractor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.