Active NPI
Charles Mitchell Matkin, DC
- Chiropractor
- Mt Pleasant, TX
National Provider Identifier
1699705608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC2841
- Practice address
- 727 E Furguson Rd
Mt Pleasant, TX 75455 - Phone
- (903) 572-0212
- Fax
- (903) 572-5321
- NPI assigned
- Jul 4, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
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
- Mt Pleasant, TX
- NPI 1811182520
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
727 E Ferguson Rd
Mt Pleasant, TX 75455-5428
Phone (903) 572-0212
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110510000431 | TX | Practitioner - Chiropractic | 3476739350 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC2841 | TX | MD | Chiropractor |
| 000000 | TX | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matkin Chiropractic Office Inc | Chiropractor | Current | Accepting new patients |
Locations
727 E Ferguson Rd
Mt Pleasant, TX 75455
Phone (214) 572-0212
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 | DC2841 | TX | Primary |
Addresses
Primary practice location
727 E Furguson Rd
Mt Pleasant, TX 75455
Mailing address
PO Box 1103
727 East Ferguson Rd
Mt Pleasant, TX 75455
Phone (903) 572-0212
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001144701 | Medicaid | TX |
NPI Registry JSON
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279065600000",
"number": "1699705608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1103",
"address_2": "727 EAST FERGUSON RD",
"city": "MT PLEASANT",
"state": "TX",
"postal_code": "75455",
"telephone_number": "903-572-0212",
"fax_number": "903-572-5231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "727 E FURGUSON RD",
"city": "MT PLEASANT",
"state": "TX",
"postal_code": "75455",
"telephone_number": "903-572-0212",
"fax_number": "903-572-5321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATKIN",
"first_name": "CHARLES",
"middle_name": "MITCHELL",
"name_prefix": "Mr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2010-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "DC2841",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001144701",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mt Pleasant, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; 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.