Matthew Daniel Carraway, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

33854 Issued in TX

Practice address

901 N Grant Ave Ste 105B
Odessa, TX 79761-4054

Phone

(432) 699-2044

NPI assigned

Jul 2, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: matthew.carraway.p1@direct.tristatechc.nextgenshare.com

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.

• Tri State Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Memphis, TN
  • NPI 1285002634
  Medicare reassignment
• Perfect Teeth - Speer P.C.

  • General Practice Dentistry
  • Denver, CO
  • NPI 1386765774
  NPD (past)

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1003222761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 N GRANT AVE STE 105B",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614054",
            "telephone_number": "432-699-2044",
            "fax_number": "432-205-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N GRANT AVE STE 105B",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614054",
            "telephone_number": "432-699-2044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1321 N Main St",
            "address_purpose": "LOCATION",
            "city": "Andrews",
            "state": "TX",
            "postal_code": "797143649",
            "country_code": "US",
            "telephone_number": "432-699-2044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5408 Frio Dr",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "TX",
            "postal_code": "797072280",
            "country_code": "US",
            "telephone_number": "432-699-2044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARRAWAY",
        "first_name": "MATTHEW",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-02",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "33854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Odessa",
            "affiliation": "N",
            "endpointDescription": "Office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Odessa",
            "address_1": "901 N Grant Ave Ste 105B",
            "city": "Odessa",
            "state": "TX",
            "country_code": "US",
            "postal_code": "797614054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ila Carrasco
• Jasmine Carrasco
• Manuel C Carrasco, D.D.S.
• Mary J Carrasco, LPC
• Paulina Carrasco
• Carlo Kristian Chu Carredo, MD
• Lynnette Jewel Carrens, WHNP
• Elmer Wilfredo Carrillo Baro, MD
• Amy Diane Carrillo
• Anna Marie Carrillo, LPC-S, RPT-S

• Pediatric Dentistry in Odessa, TX
• Providers in Odessa, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.