Individual provider Active NPI

Matthew A Schmid, DC

  • Chiropractor
  • Raleigh, NC
National Provider Identifier
1063409316
Registry record updated Jan 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1434 Issued in NC
Practice address
7116 Six Forks Rd
Suite a
Raleigh, NC 27615-6157
Phone
(919) 847-3122
Fax
(919) 847-3148
NPI assigned
Oct 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1434 NC Primary

Addresses

Primary practice location

7116 Six Forks Rd
Suite a
Raleigh, NC 27615-6157

Mailing address

7116 Six Forks Rd
Suite a
Raleigh, NC 27615-6157
Phone (919) 847-3122

Other identifiers 2

IdentifierTypeStateIssuer
8908820MedicaidNC
561385693OtherNCTAX ID #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100517000657 NC Practitioner - Chiropractic 6901878461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7116 Six Forks Rd a
Raleigh, NC 27615-6262
Phone (919) 847-3122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brian R. Ransone, DC, PA Chiropractor CurrentSince May 1, 2008 Accepting new patients
Matthew a Schmid DC PA Chiropractor CurrentSince Jan 11, 1982 Accepting new patients

Locations

7116 Six Forks Rd
Ste A
Raleigh, NC 27615
Phone (919) 847-3122

7116 Six Forks Rd
Raleigh, NC 27615
Phone (919) 847-3122

Organizations & group practices 2

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": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262649600000",
    "number": "1063409316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7116 SIX FORKS RD",
            "address_2": "SUITE A",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156157",
            "telephone_number": "919-847-3122",
            "fax_number": "919-847-3148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7116 SIX FORKS RD",
            "address_2": "SUITE A",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156157",
            "telephone_number": "919-847-3122",
            "fax_number": "919-847-3148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMID",
        "first_name": "MATTHEW",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2010-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "1434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8908820",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "561385693",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; 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.