Individual provider Active NPI

Matthew Peter Carrera, D.C

  • Chiropractor
  • Barrington, RI
National Provider Identifier
1255482196
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DCP00517 Issued in RI
Practice address
20 Bosworth St
Barrington, RI 02806-4105
Phone
(401) 247-2991
Fax
(401) 245-7510
NPI assigned
Jan 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DCP00517 RI Primary

Addresses

Primary practice location

20 Bosworth St
Barrington, RI 02806-4105

Mailing address

20 Bosworth St
Barrington, RI 02806-4105
Phone (401) 247-2991

Other identifiers 2

IdentifierTypeStateIssuer
412499OtherRIBLUE CHIP
29757-4OtherRIBCBS OF RI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050412000190 RI Practitioner - Chiropractic 7618914607 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spinal Health and Rehab Center LLC 3 clinicians

Practice addresses (Care Compare)

20 Bosworth St
Barrington, RI 02806-4535
Phone (401) 247-2991

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Spinal Health & Rehab Center LLC Chiropractor CurrentSince Aug 2, 2005 Accepting new patients
Advanced Spine Centers of Ri Chiropractor Past Accepting new patients

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255482196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 BOSWORTH ST",
            "city": "BARRINGTON",
            "state": "RI",
            "postal_code": "028064105",
            "telephone_number": "401-247-2991",
            "fax_number": "401-245-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 BOSWORTH ST",
            "city": "BARRINGTON",
            "state": "RI",
            "postal_code": "028064105",
            "telephone_number": "401-247-2991",
            "fax_number": "401-245-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRERA",
        "first_name": "MATTHEW",
        "middle_name": "PETER",
        "name_prefix": "Mr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "RI",
            "license": "DCP00517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "412499",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF RI",
            "identifier": "29757-4",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barrington, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.