Individual provider Active NPI

Matthew Quinn Carr, DPM

  • Primary Podiatric Medicine Podiatrist
  • Salt Lake City, UT
National Provider Identifier
1891717310
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
377983-0501 Issued in UT
Practice address
1970 S 200 E
Salt Lake City, UT 84115-2402
Phone
(801) 463-2500
Fax
(801) 486-2380
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 377983-0501 UT Primary

Addresses

Primary practice location

1970 S 200 E
Salt Lake City, UT 84115-2402

Mailing address

1970 S 200 E
Salt Lake City, UT 84115-2402
Phone (801) 463-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060920000000 UT Practitioner - Podiatry 2163461948 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aria Podiatry Care PLLC CurrentSince Nov 11, 2024 Accepting new patients
Alpine Hospice Inc PastSince Apr 30, 2003 Accepting new patients
Aria Dental Care PC Past Accepting new patients

Locations

8500 W 110th St
Ste 450
Overland Park, KS 66210
Phone (913) 362-1112

1001 N 500 W
Provo, UT 84604
Phone (505) 320-9952

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192579200000",
    "number": "1891717310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1970 S 200 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841152402",
            "telephone_number": "801-463-2500",
            "fax_number": "801-486-2380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 S 200 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841152402",
            "telephone_number": "801-463-2500",
            "fax_number": "801-486-2380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "MATTHEW",
        "middle_name": "QUINN",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "UT",
            "license": "377983-0501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.