Active NPI
Matthew Peter Carrera, D.C
- Chiropractor
- Barrington, RI
National Provider Identifier
1255482196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DCP00517
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 412499 | Other | RI | BLUE CHIP |
| 29757-4 | Other | RI | BCBS OF RI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spinal Health & Rehab Center LLC | Chiropractor | Current | 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.
-
- Chiropractor
- Barrington, RI
- NPI 1336281658
-
- Chiropractor
- Providence, RI
- NPI 1750326104
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.