Individual provider Active NPI

Matthew Ryan Locke, D.C.

  • Chiropractor
  • Shelby, NC
National Provider Identifier
1649646407
Registry record updated Aug 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4593 Issued in NC
Practice address
145 W Dixon Blvd
Shelby, NC 28152-6546
Phone
(704) 482-0135
Fax
(704) 482-0155
NPI assigned
Aug 17, 2015
Last updated
Aug 25, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4593 NC Primary

Addresses

Primary practice location

145 W Dixon Blvd
Shelby, NC 28152-6546

Mailing address

145 W Dixon Blvd
Shelby, NC 28152-6546
Phone (704) 482-0135

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160708001329 SC Practitioner - Chiropractic 3173831039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11920 Hwy 707
Suite E
Murrells Inlet, SC 29576-9609
Phone (864) 398-0182

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4062SCMDSkilled Nursing Facility

Practice roles

OrganizationSpecialtyStatusNew patients
Locke Chiropractic, LLC Chiropractor CurrentSince Aug 1, 2017 Accepting new patients

Locations

11920 Highway 707
Ste E
Murrells Inlt, SC 29576
Phone (864) 398-0182

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440460800000",
    "number": "1649646407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 W DIXON BLVD",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281526546",
            "telephone_number": "704-482-0135",
            "fax_number": "704-482-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 W DIXON BLVD",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281526546",
            "telephone_number": "704-482-0135",
            "fax_number": "704-482-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKE",
        "first_name": "MATTHEW",
        "middle_name": "RYAN",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-17",
        "last_updated": "2015-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; 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.