Matthew Peter Boyeson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4349 Issued in SC

Practice address

6030 Saint Andrews Rd
Ste M
Columbia, SC 29212-3164

Phone

(803) 238-3433

NPI assigned

Oct 18, 2016

Last updated

Jan 16, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Midlands Family Chiropractic, LLC

  • Chiropractor
  • Columbia, SC
  • NPI 1548732449
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547596800000",
    "number": "1114478872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6030 SAINT ANDREWS RD",
            "address_2": "STE M",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292123164",
            "telephone_number": "803-238-3433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6030 SAINT ANDREWS RD",
            "address_2": "STE M",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292123164",
            "telephone_number": "803-238-3433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYESON",
        "first_name": "MATTHEW",
        "middle_name": "PETER",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-18",
        "last_updated": "2019-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4349",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5511",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100431890",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Willie L Boyd, MD
• Zachary David Boyda, PHARMD
• Brent Andrew Boyer, M.D., M.S.
• Richard A Boyer, MD
• Amanda Boyeson, DC
• Danielle Boykin
• Darrell J Boykin, MD
• Mei Lin Thalia Boykin, LPC
• Melissa Boylan, MD
• Tracey L Boyle, LPC

• Chiropractor in Columbia, SC
• Providers in Columbia, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.