Organization Active NPI

Lloyd E. Boland, D.C., a Chiropractic Corporation

  • Chiropractor
  • Simi Valley, CA
National Provider Identifier
1184742728
Registry record updated Sep 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC13942 Issued in CA
Legal business name
LLOYD E. BOLAND, D.C., A CHIROPRACTIC CORPORATION
Practice address
2072 Tapo St
Simi Valley, CA 93063-3441
Phone
(805) 584-1114
Fax
(805) 584-3102
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2008

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

Authorized official

Name
Dr. Lloyd E. Boland III, D.C.
Title
President
Phone
(805) 584-1114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC13942 CA Primary

Addresses

Primary practice location

2072 Tapo St
Simi Valley, CA 93063-3441

Mailing address

2072 Tapo St
Simi Valley, CA 93063-3441
Phone (805) 584-1114

Other identifiers 1

IdentifierTypeStateIssuer
DC13942OtherCANHIC-SOUTHERN

National Provider Directory

National Provider Directory

Locations

2072 Tapo St
Simi Valley, CA 93063
Phone (805) 584-1114

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": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1184742728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2072 TAPO ST",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930633441",
            "telephone_number": "805-584-1114",
            "fax_number": "805-584-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2072 TAPO ST",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930633441",
            "telephone_number": "805-584-1114",
            "fax_number": "805-584-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LLOYD E. BOLAND, D.C., A CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "BOLAND",
        "authorized_official_first_name": "LLOYD",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-584-1114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC13942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHIC-SOUTHERN",
            "identifier": "DC13942",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; 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.