Organization Active NPI

Innate Enterprise PLLC

  • Chiropractor
  • Matthews, NC
National Provider Identifier
1578172003
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
INNATE ENTERPRISE PLLC
Practice address
2501B Plantation Center Dr
Matthews, NC 28105-5298
Phone
(980) 202-2890
NPI assigned
Jul 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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

Authorized official

Name
Dr. Matthew Craig Westheimer, DCNPI 1598097586
Title
Owner
Phone
(980) 202-2890

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

2501B Plantation Center Dr
Matthews, NC 28105-5298

Mailing address

2501B Plantation Center Dr
Matthews, NC 28105-5298
Phone (980) 202-2890

Other names 1

  • Precision Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200821001995 NC Part B Supplier - Clinic/Group Practice 1557787496 Receives reassigned benefits from 1 practitioner
Practice locations: Matthews, NC

National Provider Directory

National Provider Directory

Locations

2501B Plantation Center Dr
Matthews, NC 28105
Phone (980) 202-2890

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596067200000",
    "number": "1578172003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501B PLANTATION CENTER DR",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055298",
            "telephone_number": "980-202-2890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501B PLANTATION CENTER DR",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055298",
            "telephone_number": "980-202-2890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNATE ENTERPRISE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-30",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A",
        "authorized_official_last_name": "WESTHEIMER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "980-202-2890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Precision Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Matthews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; 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.