Organization Active NPI

Nelson Chiropractic Care LLC.

  • Preferred Provider Organization
  • Chapin, SC
National Provider Identifier
1801036959
Registry record updated Mar 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
3420 Issued in SC
Legal business name
NELSON CHIROPRACTIC CARE LLC.
Practice address
1402 Chapin Rd.
Chapin, SC 29036
Phone
(803) 345-3466
NPI assigned
Mar 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2009

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

Authorized official

Name
Dr. Matthew Alan Nelson, D.C.NPI 1225276918
Title
Doctor
Phone
(803) 345-3466

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
Preferred Provider Organization 305R00000X 3420 SC Primary

Addresses

Primary practice location

1402 Chapin Rd.
Chapin, SC 29036

Mailing address

PO Box 366
Chapin, SC 29036-0366
Phone (803) 345-3466

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090428000372 SC Part B Supplier - Clinic/Group Practice 8921156167 Receives reassigned benefits from 1 practitioner
Practice locations: Chapin, SC

National Provider Directory

National Provider Directory

Locations

200 Clark St
Chapin, SC 29036
Phone (803) 345-3170

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": "1236038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236038400000",
    "number": "1801036959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366",
            "city": "CHAPIN",
            "state": "SC",
            "postal_code": "290360366",
            "telephone_number": "803-345-3466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 CHAPIN RD.",
            "city": "CHAPIN",
            "state": "SC",
            "postal_code": "29036",
            "telephone_number": "803-345-3466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELSON CHIROPRACTIC CARE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-03",
        "last_updated": "2009-03-03",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "803-345-3466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "SC",
            "license": "3420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapin, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; 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.