Combined Chiropractic & Acupuncture, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

COMBINED CHIROPRACTIC & ACUPUNCTURE, PLLC

Practice address

115 Commons Dr Ste D
Mooresville, NC 28117-9264

Phone

(631) 721-7009

NPI assigned

Jul 22, 2019

Organization subpart

No

Name

Dr. Matthew John Antonelli, DCNPI 1134587173

Title

Owner

Phone

(980) 444-0060

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

• Matthew J Antonelli, DC

  • Chiropractor
  • Mooresville, NC
  • NPI 1134587173
  Medicare reassignment NPD Authorized official
• Ryan Scott Robinson, DC

  • Chiropractor
  • Mooresville, NC
  • NPI 1083600373
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 28, 2019.

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572220800000",
    "number": "1609429281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 COMMONS DR STE D",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179264",
            "telephone_number": "980-444-0060",
            "fax_number": "980-444-6860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 COMMONS DR STE D",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179264",
            "telephone_number": "631-721-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMBINED CHIROPRACTIC & ACUPUNCTURE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-22",
        "last_updated": "2019-10-28",
        "status": "A",
        "authorized_official_last_name": "ANTONELLI",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "980-444-0060",
        "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": []
}

• Eugene J Collins, MPT
• Katie Porterfield Collins
• Brooke Star Colombero, FNP-C
• Color Outside the Lines ABA Co., LLC
• Andrea Dawn Colvin, NP
• Davina R Combs
• Olivia Cometti, PH.D., LP
• Samantha Marie Condron, CCC-SLP
• Kayla Leigh Connelly
• Elizabeth Anne Conner

• All providers in Mooresville, NC
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; 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.