Organization Active NPI

Matthew a Schmid DC PA

  • Chiropractor
  • Raleigh, NC
National Provider Identifier
1780629113
Registry record updated May 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MATTHEW A SCHMID DC PA
Practice address
7116 Six Forks Rd
Suite a
Raleigh, NC 27615-6157
Phone
(919) 847-3122
Fax
(919) 847-3148
NPI assigned
Jun 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2010

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

Authorized official

Name
Dr. Matthew A Schmid, DCNPI 1063409316
Title
Doctor
Phone
(919) 847-3122

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

7116 Six Forks Rd
Suite a
Raleigh, NC 27615-6157

Mailing address

7116 Six Forks Rd
Suite a
Raleigh, NC 27615-6157
Phone (919) 847-3122

Other identifiers 1

IdentifierTypeStateIssuer
012W9OtherNCBCBS GROUP #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040806000368 NC Part B Supplier - Clinic/Group Practice 2163494600 Receives reassigned benefits from 1 practitioner
Practice locations: Raleigh, NC

National Provider Directory

National Provider Directory

Locations

7116 Six Forks Rd
Raleigh, NC 27615
Phone (919) 847-3122

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274054400000",
    "number": "1780629113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7116 SIX FORKS RD",
            "address_2": "SUITE A",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156157",
            "telephone_number": "919-847-3122",
            "fax_number": "919-847-3148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7116 SIX FORKS RD",
            "address_2": "SUITE A",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156157",
            "telephone_number": "919-847-3122",
            "fax_number": "919-847-3148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW A SCHMID DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2010-05-17",
        "status": "A",
        "authorized_official_last_name": "SCHMID",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "919-847-3122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP #",
            "identifier": "012W9",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2010; 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.