Individual provider Active NPI

Mary Beth Eastwood, DC

  • Chiropractor
  • Horseshoe Bay, TX
National Provider Identifier
1194751057
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10218 Issued in TX
Practice address
7407 W FM 2147
Horseshoe Bay, TX 78657-1000
Phone
(830) 308-5559
Fax
(830) 308-4467
NPI assigned
Jun 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10218 TX Primary

Addresses

Primary practice location

7407 W FM 2147
Horseshoe Bay, TX 78657-1000

Mailing address

PO Box 8872
Horseshoe Bay, TX 78657-8872
Phone (830) 308-5559

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061003000524 TX Practitioner - Chiropractic 7315942950 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7407 W FM
2147 Horseshoe Bay Chiropractic
Horseshoe Bay, TX 78657
Phone (830) 308-5559

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Chiropractic & Acupuncture Clinic, PC Chiropractor PastSince Sep 14, 2009 Accepting new patients
Tol PLLC Chiropractor PastSince Jan 1, 2019 Accepting new patients

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1194751057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8872",
            "city": "HORSESHOE BAY",
            "state": "TX",
            "postal_code": "786578872",
            "telephone_number": "830-308-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7407 W FM 2147",
            "city": "HORSESHOE BAY",
            "state": "TX",
            "postal_code": "786571000",
            "telephone_number": "830-308-5559",
            "fax_number": "830-308-4467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTWOOD",
        "first_name": "MARY",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Horseshoe Bay, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.