Individual provider Active NPI

Matthew Thomas McBride, DC

  • Chiropractor
  • Dallas, TX
National Provider Identifier
1750947362
Registry record updated May 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14055 Issued in TX
Practice address
7777 Forest LN Ste B115
Dallas, TX 75230-6873
Phone
(972) 566-3355
Fax
(972) 566-2040
NPI assigned
May 20, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 14055 TX Primary

Addresses

Primary practice location

7777 Forest LN Ste B115
Dallas, TX 75230-6873

Mailing address

640 Pinehurst Dr
Richardson, TX 75080-4205
Phone (469) 667-3984

Other practice location 1

800 8th Ave Ste 114
Ft Worth, TX 76104-2606
Phone (817) 367-9981

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL matt.mcbride44@yahoo.com Direct

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
14055TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558310400000",
    "number": "1750947362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 PINEHURST DR",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750804205",
            "telephone_number": "469-667-3984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE B115",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752306873",
            "telephone_number": "972-566-3355",
            "fax_number": "972-566-2040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 8th Ave Ste 114",
            "address_purpose": "LOCATION",
            "city": "Ft Worth",
            "state": "TX",
            "postal_code": "761042606",
            "country_code": "US",
            "telephone_number": "817-367-9981",
            "fax_number": "817-367-9982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCBRIDE",
        "first_name": "MATTHEW",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-20",
        "last_updated": "2019-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "14055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "matt.mcbride44@yahoo.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7777 Forest Ln Ste B115",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752306873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.