Individual provider Active NPI

Neil Odom Boecking, D.C.

  • Chiropractor
  • Austin, TX
National Provider Identifier
1023198629
Registry record updated Nov 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9693 Issued in TX
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

Updated by the provider on Nov 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8P0581OtherTXBCBS 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

LicenseStateTypeSpecialty
9693TXMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.