NPIMap

Organization Active NPI

Justin Boyce, P.C.

Doing business as Boyce Chiropractic

  • Chiropractor
  • La Grange, IL
National Provider Identifier
1063943892
Registry record updated Mar 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-010420 Issued in IL
Legal business name
JUSTIN BOYCE, P.C.
Doing business as
Boyce Chiropractic
Practice address
114 W Calendar Ave
Suite a
La Grange, IL 60525-2601
Phone
(708) 308-4585
NPI assigned
Mar 23, 2017
Organization subpart
Yes
Parent organization
JUSTIN BOYCE, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 23, 2017

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

Authorized official

Name
Dr. Justin Boyce, D.C.
Title
President
Phone
(708) 308-4585

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 038-010420 IL Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 038-010051 IL
Pediatric ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NP0017X 038-010420 IL

Addresses

Primary practice location

114 W Calendar Ave
Suite a
La Grange, IL 60525-2601

Mailing address

114 W Calendar Ave
Suite a
La Grange, IL 60525-2601
Phone (708) 308-4585

Other names 1

  • Boyce Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

114 W Calendar Ave
Ste A
La Grange, IL 60525
Phone (708) 308-4585

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490227200000",
    "number": "1063943892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 W CALENDAR AVE",
            "address_2": "SUITE A",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252601",
            "telephone_number": "708-308-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 W CALENDAR AVE",
            "address_2": "SUITE A",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252601",
            "telephone_number": "708-308-4585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN BOYCE, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JUSTIN BOYCE, P.C.",
        "enumeration_date": "2017-03-23",
        "last_updated": "2017-03-23",
        "status": "A",
        "authorized_official_last_name": "BOYCE",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-308-4585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-010420",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-010051",
            "primary": false
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "IL",
            "license": "038-010420",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boyce Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Grange, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.