Individual provider Active NPI

Carolina A M Da Mata, DC

  • Chiropractor
  • Kyle, TX
National Provider Identifier
1245817980
Registry record updated Mar 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14720 Issued in TX
Practice address
102 S Meyer St
Kyle, TX 78640-5686
Phone
(512) 268-2273
NPI assigned
Mar 27, 2021
Last updated
Mar 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 14720 TX Primary

Addresses

Primary practice location

102 S Meyer St
Kyle, TX 78640-5686

Mailing address

1480 Cabelas Dr Apt 223
Buda, TX 78610-6204
Phone (517) 230-3233

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230329001248 MI Practitioner - Chiropractic 5799186086 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novi Holistic HealthGroup PAC ID 8729340856, 3 clinicians

Practice addresses (Care Compare)

422 S Dexter St
Pinckney, MI 48169-9070
Phone (734) 878-3113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14720TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Novi Holistic Health CurrentSince Jul 10, 2025 Accepting new patients
In Motion Chiropractic, LLC Chiropractor Current Accepting new patients
Brenan S Langley DC PLLC Chiropractor CurrentSince Jun 29, 2025 Accepting new patients
Michigan's Family Chiropractic- Albion, PLLC Chiropractor CurrentSince Mar 28, 2023 Accepting new patients

Locations

300 Austin Ave
Albion, MI 49224
Phone (517) 629-5505

610 W Michigan Ave
Jackson, MI 49201
Phone (517) 784-9101

422 S Dexter St
Pinckney, MI 48169
Phone (734) 878-3113

102 S Meyer St
Kyle, TX 78640
Phone (512) 268-2273

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1616803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616803200000",
    "number": "1245817980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 CABELAS DR APT 223",
            "city": "BUDA",
            "state": "TX",
            "postal_code": "786106204",
            "telephone_number": "517-230-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S MEYER ST",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786405686",
            "telephone_number": "512-268-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DA MATA",
        "first_name": "CAROLINA",
        "middle_name": "A M",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-27",
        "last_updated": "2021-03-27",
        "certification_date": "2021-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "14720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kyle, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2021; 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.