Individual provider Active NPI

Andrew Nolt, DC

  • Chiropractor
  • Boynton Beach, FL
National Provider Identifier
1053784124
Registry record updated Nov 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH11705 Issued in FL
Practice address
3000 S Congress Ave
Unit 102
Boynton Beach, FL 33426-9011
Phone
(561) 396-9872
NPI assigned
Nov 11, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH11705 FL Primary

Addresses

Primary practice location

3000 S Congress Ave
Unit 102
Boynton Beach, FL 33426-9011

Mailing address

3000 S Congress Ave
Unit 102
Boynton Beach, FL 33426-9011
Phone (561) 396-9872

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160126002822 FL Practitioner - Chiropractic 5294038139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3000 S Congress Ave
Suite 102
Boynton Beach, FL 33426-9011
Phone (561) 396-9872

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH11705FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Inspire Chiropractic P a Chiropractor CurrentSince Feb 27, 2016 Accepting new patients

Locations

3000 S Congress Ave
Ste 102
Boynton Beach, FL 33426
Phone (561) 396-9872

3000 S Congress Ave
Unit 102
Boynton Beach, FL 33426
Phone (561) 396-9872

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1447200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447200000000",
    "number": "1053784124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 S CONGRESS AVE",
            "address_2": "UNIT 102",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334269011",
            "telephone_number": "561-396-9872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 S CONGRESS AVE",
            "address_2": "UNIT 102",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334269011",
            "telephone_number": "561-396-9872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLT",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-11",
        "last_updated": "2015-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2015; 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.