Matthew Peter Mullins, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC008857 Issued in PA

Practice address

245 Bloomfield Dr
Suite 201
Lititz, PA 17543-7788

Phone

(717) 569-5075

Fax

(717) 569-5030

NPI assigned

Jan 19, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Chiropractic 1St LLC

  • Chiropractor
  • Lititz, PA
  • NPI 1568419646
  Medicare reassignment Authorized official
• Stuart Joseph Surkosky

  dba Care Chiropractic Center

  • Chiropractor
  • Renfrew, PA
  • NPI 1275656944
  NPD (past)

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

{
    "created_epoch": "1200700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431302400000",
    "number": "1801072947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 BLOOMFIELD DR",
            "address_2": "SUITE 201",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175437788",
            "telephone_number": "717-569-5075",
            "fax_number": "717-569-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 BLOOMFIELD DR",
            "address_2": "SUITE 201",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175437788",
            "telephone_number": "717-569-5075",
            "fax_number": "717-569-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "MATTHEW",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-19",
        "last_updated": "2015-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC008857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHASSURANCE",
            "identifier": "264884",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3741100",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "001471947",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "1471947",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sean Moriarty, DMD
• Douglas R Morrissey, MD
• Leigh A Moser, OD
• April Mouliert, LPC
• Jennifer L Mulhern, DPM
• Jorge Mundo, ATC, LAT
• Elizabeth Murdock, P.T.
• Mary Murphy, CRNA
• Jilian Musser, LMT
• Melanie Myer, LPC

• Chiropractor in Lititz, PA
• Providers in Lititz, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.