Individual provider Active NPI

Chris W Boyson, D.C.

  • Chiropractor
  • Appleton, WI
National Provider Identifier
1144452285
Registry record updated Jul 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2168-012 Issued in WI
Practice address
2000 S Memorial Drive
Appleton, WI 54915-1970
Phone
(920) 997-8268
Fax
(920) 997-8268
NPI assigned
Aug 21, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2168-012 WI Primary

Addresses

Primary practice location

2000 S Memorial Drive
Appleton, WI 54915-1970

Mailing address

2000 S Memorial Drive
Appleton, WI 54915-1970
Phone (920) 997-8268

Other identifiers 1

IdentifierTypeStateIssuer
38795700MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
2168-012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chris Boyson Chiropractic Chiropractor PastSince Jun 27, 2012 Accepting new patients

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": "1250812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342742400000",
    "number": "1144452285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 S MEMORIAL DRIVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549151970",
            "telephone_number": "920-997-8268",
            "fax_number": "920-997-8268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S MEMORIAL DRIVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549151970",
            "telephone_number": "920-997-8268",
            "fax_number": "920-997-8268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYSON",
        "first_name": "CHRIS",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-21",
        "last_updated": "2012-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2168-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38795700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; 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.