Organization Active NPI

Total Healing Experience Group, LLC

  • Chiropractor
  • North Chesterfield, VA
National Provider Identifier
1720348352
Registry record updated May 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556440 Issued in VA
Legal business name
TOTAL HEALING EXPERIENCE GROUP, LLC
Practice address
103 Twinridge LN
North Chesterfield, VA 23235-5241
Phone
(804) 464-1551
Fax
(804) 592-5400
NPI assigned
May 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2012

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

Authorized official

Name
Dr. Melody Yvonne Matthews, D.C.NPI 1093997991
Title
Chiropractor/Owner
Phone
(804) 464-1551

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 0104556440 VA Primary

Addresses

Primary practice location

103 Twinridge LN
North Chesterfield, VA 23235-5241

Mailing address

103 Twinridge LN
North Chesterfield, VA 23235-5241
Phone (804) 464-1551

Other names 1

  • T.H.E. Group Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131227000522 VA Part B Supplier - Clinic/Group Practice 0143457937 Receives reassigned benefits from 1 practitioner
Practice locations: North Chesterfield, VA

National Provider Directory

National Provider Directory

Locations

235 Wadsworth Dr
North Chesterfield, VA 23236
Phone (804) 536-6663

Practitioners & affiliated clinicians

Practitioners 2

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": "1337126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337126400000",
    "number": "1720348352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 TWINRIDGE LN",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232355241",
            "telephone_number": "804-464-1551",
            "fax_number": "804-592-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 TWINRIDGE LN",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232355241",
            "telephone_number": "804-464-1551",
            "fax_number": "804-592-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL HEALING EXPERIENCE GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-16",
        "last_updated": "2012-05-16",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "MELODY",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "804-464-1551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "T.H.E. Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; 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.