Randal Robert Boivin, DC

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

License

X010482-1 Issued in NY

Practice address

12590 Perry Hwy Ste 200
Wexford, PA 15090-1550

Phone

(724) 799-8004

Fax

(247) 799-8393

NPI assigned

Oct 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, PA2 enrollments

Enrollment records 2

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Boivin Family Chiropractic PLLC

  • Chiropractor
  • Wexford, PA
  • NPI 1730425885

  NY

  Medicare reassignment NPD Authorized official
• Upstate Chiropractic, PC

  • Neurology Chiropractor
  • Baldwinsville, NY
  • NPI 1639254964
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1073606877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12590 PERRY HWY STE 200",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150901550",
            "telephone_number": "724-799-8004",
            "fax_number": "724-799-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12590 PERRY HWY STE 200",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150901550",
            "telephone_number": "724-799-8004",
            "fax_number": "247-799-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOIVIN",
        "first_name": "RANDAL",
        "middle_name": "ROBERT",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "NY",
            "license": "X010482-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Blasik
• Sandra Alane Block, LCSW
• Shanna M Bloomgren, PTA
• Blossom Physical Therapy and Wellness LLC
• Boivin Family Chiropractic PLLC
• Leyna Bonanno, LPC
• Madison Book, OTR/L
• David Boone, MS/OTRL
• Jeffrey Thomas Boren, H.I.S.
• Jennnifer A Bosma, LCSW

• Neurology Chiropractor in Wexford, PA
• Providers in Wexford, PA by specialty
• Neurology Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; 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.