Individual provider Active NPI

Matthew Swimelar, DC

  • Chiropractor
  • Horseheads, NY
National Provider Identifier
1740609577
Registry record updated Apr 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
012874 Issued in NY
Practice address
109 S Main St
Horseheads, NY 14845-2462
Phone
(607) 442-1135
NPI assigned
Apr 9, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 012874 NY Primary

Addresses

Primary practice location

109 S Main St
Horseheads, NY 14845-2462

Mailing address

109 S Main St
Horseheads, NY 14845-2462
Phone (607) 442-1135

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170922002348 NY Practitioner - Chiropractic 0547484305 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

109 S Main St
Horseheads, NY 14845-2462
Phone (607) 442-1135

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
940NHMDMental Health Counselor
012874NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Swimelar Chiropractic Health Wellness PLLC Chiropractor CurrentSince Jun 18, 2017 Accepting new patients

Locations

109 S Main St
Horseheads, NY 14845
Phone (607) 442-1135

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492041600000",
    "number": "1740609577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 S MAIN ST",
            "city": "HORSEHEADS",
            "state": "NY",
            "postal_code": "148452462",
            "telephone_number": "607-442-1135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 S MAIN ST",
            "city": "HORSEHEADS",
            "state": "NY",
            "postal_code": "148452462",
            "telephone_number": "607-442-1135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWIMELAR",
        "first_name": "MATTHEW",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-09",
        "last_updated": "2017-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "012874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Horseheads, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; 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.