Individual provider Active NPI

Constantina R Boshell, D.C

  • Chiropractor
  • Jasper, AL
National Provider Identifier
1013926815
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1548 Issued in AL
Practice address
84 Highway 195 Ste a
Jasper, AL 35503-6491
Phone
(205) 221-9951
Fax
(205) 387-9873
NPI assigned
Aug 8, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1548 AL Primary

Addresses

Primary practice location

84 Highway 195 Ste a
Jasper, AL 35503-6491

Mailing address

84 Highway 195 Ste a
Jasper, AL 35503-6491
Phone (205) 221-9951

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040817000621 AL Practitioner - Chiropractic 4284607334 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

84 Hwy 195
Suite a
Jasper, AL 35503-6491

84A Hwy 195
Jasper, AL 35503-6491
Phone (205) 221-9951

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1548ALMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Boshell Clinic, Inc. Chiropractor CurrentSince Jan 1, 1998 Accepting new patients

Locations

84 Highway 195
#A
Jasper, AL 35503
Phone (205) 221-9951

84A Highway 195
Jasper, AL 35503
Phone (205) 221-9951

Networks

  • MS PPO
  • MS PPO C-SNP
  • MS PPO D-SNP
  • FL PPO

Organizations & group practices 1

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013926815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 HIGHWAY 195 STE A",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355036491",
            "telephone_number": "205-221-9951",
            "fax_number": "205-387-9873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 HIGHWAY 195 STE A",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355036491",
            "telephone_number": "205-221-9951",
            "fax_number": "205-387-9873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSHELL",
        "first_name": "CONSTANTINA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.