Active NPI
Neil Odom Boecking, D.C.
- Chiropractor
- Austin, TX
National Provider Identifier
1023198629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 9693
- Practice address
- 1015 W 39TH 1/2 St
Austin, TX 78756-4005 - Phone
- (512) 371-7478
- Fax
- (512) 371-3861
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 9693 | TX | Primary |
Addresses
Primary practice location
1015 W 39TH 1/2 St
Austin, TX 78756-4005
Mailing address
1015 W 39TH 1/2 St
Austin, TX 78756-4005
Phone (512) 371-7478
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8P0581 | Other | TX | BCBS TEXAS |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9693 | TX | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aussa Physicians, PLLC | Current | Accepting new patients | |
| Gegel Anesthesia PC | Past | Accepting new patients | |
| Pro-Care Spine Center, PLLC | Chiropractor | Past | Accepting new patients |
Locations
9502 Huebner Rd
Ste 102
San Antonio, TX 78240
Phone (210) 881-0630
9727 Poteet Jourdanton Fwy
Ste 101
San Antonio, TX 78211
Phone (210) 881-0630
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.
-
- Family Medicine Physician
- Austin, TX
- NPI 1285135152
-
- Certified Registered Nurse Anesthetist
- San Antonio, TX
- NPI 1710379003
-
- Interventional Pain Medicine Physician
- Del Rio, TX
- NPI 1770858706
Chiropractor
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227657600000",
"number": "1023198629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 W 39TH 1/2 ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787564005",
"telephone_number": "512-371-7478",
"fax_number": "512-371-3861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 W 39TH 1/2 ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787564005",
"telephone_number": "512-371-7478",
"fax_number": "512-371-3861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOECKING",
"first_name": "NEIL",
"middle_name": "ODOM",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2008-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "9693",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS TEXAS",
"identifier": "8P0581",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.