Provider Demographics
NPI:1932516564
Name:CARTER, MATTHEW SHERMAN (DC)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:SHERMAN
Last Name:CARTER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2821 ROUTH ST
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75201-1414
Mailing Address - Country:US
Mailing Address - Phone:214-296-0269
Mailing Address - Fax:469-212-1188
Practice Address - Street 1:2821 ROUTH ST
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75201-1414
Practice Address - Country:US
Practice Address - Phone:214-296-0269
Practice Address - Fax:469-212-1188
Is Sole Proprietor?:No
Enumeration Date:2014-07-15
Last Update Date:2015-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12541111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX416475ZPLNMedicare PIN