Organization Active NPI

Denner Chiropractic and Performance PLLC

  • Chiropractor
  • Pineville, NC
National Provider Identifier
1760196406
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DENNER CHIROPRACTIC AND PERFORMANCE PLLC
Practice address
13501 Dorman Rd
Pineville, NC 28134-9334
Phone
(704) 325-9767
NPI assigned
Jan 9, 2023
Last updated
Jan 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Authorized official

Name
Dr. Matheau DennerNPI 1245943844
Title
Managing Member
Phone
(631) 680-5866

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
Chiropractor 111N00000X Primary

Addresses

Primary practice location

13501 Dorman Rd
Pineville, NC 28134-9334

Mailing address

13501 Dorman Rd
Pineville, NC 28134-9334

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230202001180 NC Part B Supplier - Clinic/Group Practice 4688046519 Receives reassigned benefits from 1 practitioner
Practice locations: Pineville, NC

National Provider Directory

National Provider Directory

Locations

13501 Dorman Rd
Pineville, NC 28134
Phone (704) 325-9767

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673222400000",
    "number": "1760196406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13501 DORMAN RD",
            "city": "PINEVILLE",
            "state": "NC",
            "postal_code": "281349334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13501 DORMAN RD",
            "city": "PINEVILLE",
            "state": "NC",
            "postal_code": "281349334",
            "telephone_number": "704-325-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNER CHIROPRACTIC AND PERFORMANCE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-08",
        "status": "A",
        "authorized_official_last_name": "DENNER",
        "authorized_official_first_name": "MATHEAU",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "631-680-5866",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pineville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.