Individual provider Active NPI

Amanda Eyring Boda, D.C.

  • Chiropractor
  • Mint Hill, NC
National Provider Identifier
1437227899
Registry record updated Aug 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4644 Issued in NC
Practice address
6820 Matthews Mint Hill Rd
Ste 202
Mint Hill, NC 28227-9491
Phone
(980) 229-2528
NPI assigned
Dec 1, 2006
Last updated
Aug 15, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4644 NC Primary

Addresses

Primary practice location

6820 Matthews Mint Hill Rd
Ste 202
Mint Hill, NC 28227-9491

Mailing address

6820 Matthews Mint Hill Rd
Ste 202
Mint Hill, NC 28227-9491
Phone (980) 229-2528

Other names 1

  • Dr. Amanda Christine Eyring Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190226002909 NC Practitioner - Chiropractic 2062598626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Reach Your Peak Chiropractic Center PCGroup PAC ID 1456420157, 2 clinicians

Practice addresses (Care Compare)

2940 Senna Dr
Suite B
Matthews, NC 28105-6722
Phone (704) 847-4044

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4644NCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Reach Your Peak Chiropractic Center PC Chiropractor CurrentSince Oct 29, 2018 Accepting new patients
Complete Wellness Chiropractic Chiropractor PastSince Jul 16, 2009 Accepting new patients

Locations

2940 Senna Dr
#B
Matthews, NC 28105
Phone (704) 847-4044

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, 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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471219200000",
    "number": "1437227899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6820 MATTHEWS MINT HILL RD",
            "address_2": "STE 202",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282279491",
            "telephone_number": "980-229-2528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6820 MATTHEWS MINT HILL RD",
            "address_2": "STE 202",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282279491",
            "telephone_number": "980-229-2528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODA",
        "first_name": "AMANDA",
        "middle_name": "EYRING",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2016-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "EYRING",
            "middle_name": "CHRISTINE",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mint Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; 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.