Boutwell Chiropractic Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR001984 Issued in GA

Legal business name

BOUTWELL CHIROPRACTIC CENTER LLC

Practice address

3434 University Ave.
Columbus, GA 31907

Phone

(706) 569-6997

Fax

(706) 569-8898

NPI assigned

Aug 23, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Roger Bert Boutwell, DCNPI 1396964250

Title

Owner

Phone

(706) 566-6996

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roger Bert Boutwell, DC

  • Chiropractor
  • Columbus, GA
  • NPI 1396964250
  NPD (past) Authorized official

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

{
    "created_epoch": "1219449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227052800000",
    "number": "1184871923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3434 UNIVERSITY AVE.",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "31907",
            "telephone_number": "706-569-6997",
            "fax_number": "706-569-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 UNIVERSITY AVE.",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "31907",
            "telephone_number": "706-569-6997",
            "fax_number": "706-569-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOUTWELL CHIROPRACTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-23",
        "last_updated": "2008-11-19",
        "status": "A",
        "authorized_official_last_name": "BOUTWELL",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "BERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-566-6996",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR001984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Bourgeois, RBT
• Sharian Bourgeois
• Ricardo Stephann Bourgoin, PHARMD
• Earlissa Bourne
• Paula Boutin, LPN
• Roger Bert Boutwell, DC
• Kara Bowden
• Leah Bowden, FNP
• Derrick Bowen
• Demonte Bowens

• Chiropractor in Columbus, GA
• Providers in Columbus, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.