Clark Claire Byroad, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4646 Issued in TX

Practice address

575 N Valley Pkwy
Suite 100
Lewisville, TX 75067-3437

Phone

(972) 219-0434

NPI assigned

Aug 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1987

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)

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 and National Provider Directory roles.

• Clark C. Byroad D.C., P.a.

  • Chiropractor
  • Lewisville, TX
  • NPI 1861669962
  Medicare reassignment Care Compare group NPD Authorized official
• On the Mend LLC

  • Physical Therapist
  • Lewisville, TX
  • NPI 1346957404
  NPD
• Trustees of Columbia University in the City of New York

  • Anesthesiology Physician
  • New York, NY
  • NPI 1841239829
  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1730196320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 N VALLEY PKWY",
            "address_2": "SUITE 100",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673437",
            "telephone_number": "972-219-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 N VALLEY PKWY",
            "address_2": "SUITE 100",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673437",
            "telephone_number": "972-219-0434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYROAD",
        "first_name": "CLARK",
        "middle_name": "CLAIRE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "4646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI FOR CLARK C. BYROAD",
            "identifier": "1861669962",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLARK C BYROAD DC PA PTAN",
            "identifier": "TXB114954",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLARK C BYROAD INDIVIDUAL PTAN",
            "identifier": "TXB114955",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRENDA KUNC BYROAD INDIVIDUAL PTAN",
            "identifier": "TXB100809",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://byroadchiropractic.com/",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "website",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website",
            "address_1": "575 N Valley Pkwy",
            "address_2": "Suite 100",
            "city": "Lewisville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750673437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://g.page/r/CYgL4ebdVjD0EAE",
            "affiliation": "N",
            "endpointDescription": "GBP",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Business Profile",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "GBP",
            "address_1": "575 N Valley Pkwy",
            "address_2": "Suite 100",
            "city": "Lewisville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750673437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Megan K Burke, PA
• Cody C Burns, PT
• Shanae Butler
• Jane Andrews Byers, MED MS
• Kelly Ann Byrne, D.C.
• C Sharp Vision, PLLC
• C Squared Facilities, LLC
• Meagan E Cabrera, MOT, OTR
• Michael Cacoilo, MD
• Peyton Elizabeth Cain, RD

• Chiropractor in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.