Dr. Mary Beth Eastwood, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

DR. MARY BETH EASTWOOD, INC.

Doing business as

Triangle Chiropractic

Practice address

7510 Eastcrest Dr
Austin, TX 78752-1408

Phone

(512) 804-9008

NPI assigned

Feb 12, 2008

Last updated

Feb 1, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mary Beth Eastwood, D.C.NPI 1194751057

Title

Owner

Phone

(512) 804-9008

Specialties & licenses 1

Addresses

Other names 1

• Triangle Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Beth Eastwood, DC

  • Chiropractor
  • Horseshoe Bay, TX
  • NPI 1194751057
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485907200000",
    "number": "1912175084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7510 EASTCREST DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787521408",
            "telephone_number": "512-804-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7510 EASTCREST DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787521408",
            "telephone_number": "512-804-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MARY BETH EASTWOOD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2017-02-01",
        "status": "A",
        "authorized_official_last_name": "EASTWOOD",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-804-9008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Triangle Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; 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.