Active NPI
Matthew Evan Leibman, D.C.
- Chiropractor
- Matthews, NC
National Provider Identifier
1326060583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3260
- Practice address
- 1340 Matthews Township Pkwy Ste 103
Matthews, NC 28105-4681 - Phone
- (704) 841-3833
- NPI assigned
- Jul 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 3260 | NC | Primary |
Addresses
Primary practice location
1340 Matthews Township Pkwy Ste 103
Matthews, NC 28105-4681
Mailing address
PO Box 2023
Matthews, NC 28106-2023
Phone (704) 841-3833
Other practice location 1
10800 Independence Pointe Pkwy
Suite E
Matthews, NC 28105-1753
Phone (704) 841-3833
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5903016 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gomez Advanced Wellness Center, Inc | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Matthews, NC
- NPI 1427127521
-
- Chiropractor
- Charlotte, NC
- NPI 1457449464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1326060583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2023",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281062023",
"telephone_number": "704-841-3833",
"fax_number": "704-841-1594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1340 MATTHEWS TOWNSHIP PKWY STE 103",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281054681",
"telephone_number": "704-841-3833"
}
],
"practiceLocations": [
{
"address_1": "10800 Independence Pointe Pkwy",
"address_2": "Suite E",
"address_purpose": "LOCATION",
"city": "Matthews",
"state": "NC",
"postal_code": "281051753",
"country_code": "US",
"telephone_number": "704-841-3833",
"fax_number": "704-841-1594",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEIBMAN",
"first_name": "MATTHEW",
"middle_name": "EVAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "3260",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5903016",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Matthews, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.