Active NPI
Mark Boynton, DC
- Chiropractor
- Mount Vernon, OH
National Provider Identifier
1144818949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC-05047
- Practice address
- 1641 Venture Dr Ste C
Mount Vernon, OH 43050-7001 - Phone
- (614) 397-1212
- NPI assigned
- Jan 6, 2021
- Last updated
- Apr 4, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC-05047 | OH | Primary |
Addresses
Primary practice location
1641 Venture Dr Ste C
Mount Vernon, OH 43050-7001
Mailing address
1641 Venture Dr Ste C
Mount Vernon, OH 43050-7001
Phone (740) 397-1212
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210322001882 | OH | Practitioner - Chiropractic | 1557778412 | Practice locations: Mount Vernon, OH |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1641 Venture Dr
Suite C
Mount Vernon, OH 43050-7001
Phone (614) 397-1212
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC-05047 | OH | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649030400000",
"number": "1144818949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1641 VENTURE DR STE C",
"city": "MOUNT VERNON",
"state": "OH",
"postal_code": "430507001",
"telephone_number": "740-397-1212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1641 VENTURE DR STE C",
"city": "MOUNT VERNON",
"state": "OH",
"postal_code": "430507001",
"telephone_number": "614-397-1212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYNTON",
"first_name": "MARK",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-01-06",
"last_updated": "2022-04-04",
"certification_date": "2022-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "DC-05047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Vernon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; 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.