Matthew David Sherrill, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2000173073 Issued in MO

Practice address

919 E Main St
Park Hills, MO 63601-2717

Phone

(573) 327-4067

Fax

(636) 479-1088

NPI assigned

Feb 26, 2007

Last updated

Sep 8, 2022By the provider in NPPES

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 MO

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2000

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• McIntyre Chiropractic LLC

  • Chiropractor
  • Bonne Terre, MO
  • NPI 1790142180
  NPD

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1629104153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 527",
            "city": "BONNE TERRE",
            "state": "MO",
            "postal_code": "636280527",
            "telephone_number": "314-353-8079",
            "fax_number": "636-479-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 E MAIN ST",
            "city": "PARK HILLS",
            "state": "MO",
            "postal_code": "636012717",
            "telephone_number": "573-327-4067",
            "fax_number": "636-479-1088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4243 Green Park Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631253022",
            "country_code": "US",
            "telephone_number": "314-353-8079",
            "fax_number": "636-479-1088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHERRILL",
        "first_name": "MATTHEW",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2000173073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Rose
• Jeffrey Joseph Rustige, MSW, LCSW
• Seasons Counseling Center LLC
• Serenity Hospicecare
• Deborah L Sherrill
• Michael Sherrill, DC
• Gayla D Sisk, LCSW
• Dwayne Patrick Smith
• Emilee Louise Snider
• Southeast Missouri Behavioral Health

• Chiropractor in Park Hills, MO
• Providers in Park Hills, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.