Individual provider Active NPI

Brenda Dee Kunc-Byroad, D.C.

  • Chiropractor
  • Lewisville, TX
National Provider Identifier
1205843802
Registry record updated Mar 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5098 Issued in TX
Practice address
575 N Valley Pkwy
Lewisville, TX 75067-3437
Phone
(972) 319-0434
NPI assigned
Aug 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5098 TX Primary

Addresses

Primary practice location

575 N Valley Pkwy
Lewisville, TX 75067-3437

Mailing address

575 N Valley Pkwy
Lewisville, TX 75067-3437
Phone (972) 319-0434

Other identifiers 1

IdentifierTypeStateIssuer
1861669962OtherTXGROUP NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100608000108 TX Practitioner - Chiropractic 6204966963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clark C. Byroad D.C., P.a.Group PAC ID 0446439392, 2 clinicians

Practice addresses (Care Compare)

575 N Valley Pkwy
Suite 100
Lewisville, TX 75067-3437
Phone (972) 219-0434

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5098TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
On the Mend LLC CurrentSince Oct 30, 2022 Accepting new patients
Clark C. Byroad D.C., P.a. Chiropractor CurrentSince Apr 26, 2011 Accepting new patients

Locations

575 N Valley Pkwy
Ste 100
Lewisville, TX 75067
Phone (972) 219-0434

Organizations & group practices 2

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301529600000",
    "number": "1205843802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 N VALLEY PKWY",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673437",
            "telephone_number": "972-319-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 N VALLEY PKWY",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673437",
            "telephone_number": "972-319-0434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNC-BYROAD",
        "first_name": "BRENDA",
        "middle_name": "DEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2011-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "5098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1861669962",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; 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.