Matthew Dallas, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

L004309 Issued in NC

Practice address

300 W Tryon St
Hillsborough, NC 27278-2438

Phone

(919) 245-2400

Fax

(919) 644-3007

NPI assigned

Jan 8, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Brody School of Medicine at East Carolina University, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orange CountyGroup PAC ID 8325069008, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Orange County

  • State or Local Public Health Clinic/Center
  • Hillsborough, NC
  • NPI 1760576722

  Dietitian, Registered

  Medicare reassignment Care Compare group NPD
• Orange County Government

  • Community Health Clinic/Center
  • Hillsborough, NC
  • NPI 1689753931
  NPD

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

{
    "created_epoch": "1389139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389139200000",
    "number": "1396167425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W TRYON ST",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272782438",
            "telephone_number": "919-245-2400",
            "fax_number": "919-644-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W TRYON ST",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272782438",
            "telephone_number": "919-245-2400",
            "fax_number": "919-644-3007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALLAS",
        "first_name": "MATTHEW",
        "credential": "RD, LDN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-08",
        "last_updated": "2014-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L004309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Crummett, M.D.
• Cultivate Counseling PLLC
• Francis Russell Cummings Jr., LMHC
• Audrey Czejkowski, PT
• Sarah D'Souza, DO
• Angela Atwater Dameron, SLP
• Daniel K Cheek, DDS, PA
• Steven Thomas Daniels, D.D.S.
• Davia Nickelson DDS PLLC
• Michael Debartolo, DC

• Registered Dietitian in Hillsborough, NC
• Providers in Hillsborough, NC by specialty
• Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; 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.