Individual provider Active NPI

Matthew Ryan Sharples, D.C.

  • Chiropractor
  • Winston Salem, NC
National Provider Identifier
1477942969
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5684 Issued in NC
Practice address
1515 Hanes Mall Blvd
Winston Salem, NC 27103-1358
Phone
(336) 773-7373
NPI assigned
Jan 21, 2015
Last updated
Mar 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5684 NC Primary
Chiropractor 111N00000X 4487 OH

Addresses

Primary practice location

1515 Hanes Mall Blvd
Winston Salem, NC 27103-1358

Mailing address

1515 Hanes Mall Blvd
Winston Salem, NC 27103-1358
Phone (336) 773-7373

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231107000331 NC Practitioner - Chiropractic 7113374596 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4487OHMDClinical Psychologist
5684NCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Gys Chiro Inc Chiropractor CurrentSince Oct 11, 2023 Accepting new patients
Gys Chiro Inc Chiropractor PastSince Oct 11, 2023 Accepting new patients

Locations

3410 W Wendover Ave
Ste A
Greensboro, NC 27407
Phone (336) 274-3500

1515 Hanes Mall Blvd
Winston Salem, NC 27103
Phone (336) 773-7373

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.

NPI Registry JSON

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

{
    "created_epoch": "1421798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1477942969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 HANES MALL BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031358",
            "telephone_number": "336-773-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 HANES MALL BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031358",
            "telephone_number": "336-773-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARPLES",
        "first_name": "MATTHEW",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-21",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "5684",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4487",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.