MATTHEW DALE ROBERSON DC
NPI 1962397257
Chiropractor in Tyler, TX

Active since June 09, 2025
310 W RUSK ST, TYLER, TX 75701(903) 515-5535 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Matthew Dale Roberson Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW DALE ROBERSON DC (NPI 1962397257) is an individual chiropractor in Tyler, Texas, licensed in Texas (14307) and active in the NPI registry since June 2025. He is a graduate of Other (2018).

NPPES Registry Identity

NPI1962397257
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameMATTHEW DALE ROBERSONCredential: DC
Location Address310 W RUSK STTyler, TX 75701-1513
Mailing AddressPo Box 7215Tyler, TX 75711-7215 · (903) 515-5535
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateJune 9, 2025
NPPES CertifiedJune 9, 2025
NPI 1962397257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in TX · 14307
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
310 W RUSK ST, Tyler, TX 75701

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Matthew Dale Roberson Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6901395268
PECOS Enrollment IDI20251028003260

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
310 W RUSK ST
TYLER, TX 75701
Clinic/Center (Rehabilitation)
310 W RUSK ST
TYLER, TX 75701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Roberson's NPI number?

The NPI number for Matthew Roberson is 1962397257. It was assigned to this individual provider in the NPPES registry on June 9, 2025.

Where is Matthew Roberson located?

Matthew Roberson practices at 310 W Rusk St, Tyler, TX 75701. The listed phone number is (903) 515-5535.

What is Matthew Roberson's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Matthew Roberson enrolled in Medicare?

Yes. Matthew Roberson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Matthew Roberson was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.