Organization Active NPI

Matteo Chiropractic PLLC

  • Chiropractor
  • Mebane, NC
National Provider Identifier
1639211568
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3048 Issued in NC
Legal business name
MATTEO CHIROPRACTIC PLLC
Practice address
941 S Fifth St
Mebane, NC 27302-3240
Phone
(919) 563-0000
Fax
(919) 563-0063
NPI assigned
Feb 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Dr. Craig M Matteo, D. C.NPI 1730128976
Title
Chiropractor
Phone
(919) 563-0000

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 3048 NC Primary

Addresses

Primary practice location

941 S Fifth St
Mebane, NC 27302-3240

Mailing address

941 S Fifth St
Mebane, NC 27302-3240
Phone (919) 563-0000

Other identifiers 3

IdentifierTypeStateIssuer
1730128976OtherNCINDIVIDUAL NPI
2454494COtherNCMEDICARE ID
89085GXMedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070824000394 NC Part B Supplier - Clinic/Group Practice 8426140237 Receives reassigned benefits from 1 practitioner
Practice locations: Mebane, NC

National Provider Directory

National Provider Directory

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": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1639211568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 S FIFTH ST",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273023240",
            "telephone_number": "919-563-0000",
            "fax_number": "919-563-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 S FIFTH ST",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273023240",
            "telephone_number": "919-563-0000",
            "fax_number": "919-563-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTEO CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "MATTEO",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "919-563-0000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1730128976",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "2454494C",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89085GX",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mebane, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.