Individual provider Active NPI

Mandy De Ann Boyce, DC

  • Orthopedic Chiropractor
  • Terrell, TX
National Provider Identifier
1063658698
Registry record updated Jan 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
10995 Issued in TX
Practice address
1001 E Moore Ave
Suite C
Terrell, TX 75160-3223
Phone
(972) 563-6781
NPI assigned
Jan 3, 2009
Last updated
Jan 3, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Chiropractor 111NX0800X 10995 TX Primary

Addresses

Primary practice location

1001 E Moore Ave
Suite C
Terrell, TX 75160-3223

Mailing address

3901 Accent Dr
Apt 1336
Dallas, TX 75287-6780
Phone (972) 672-8392

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

State licenses

LicenseStateTypeSpecialty
10995TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kirashaven Holdings, Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1230940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230940800000",
    "number": "1063658698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 ACCENT DR",
            "address_2": "APT 1336",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752876780",
            "telephone_number": "972-672-8392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E MOORE AVE",
            "address_2": "SUITE C",
            "city": "TERRELL",
            "state": "TX",
            "postal_code": "751603223",
            "telephone_number": "972-563-6781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYCE",
        "first_name": "MANDY",
        "middle_name": "DE ANN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-03",
        "last_updated": "2009-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "TX",
            "license": "10995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terrell, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2009; 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.