Organization Active NPI

Boland Chiropractic Inc.

  • Rehabilitation Chiropractor
  • Harrisburg, PA
National Provider Identifier
1205080611
Registry record updated Nov 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
DC003322L Issued in PA
Legal business name
BOLAND CHIROPRACTIC INC.
Practice address
915 N Mountain Rd
Suite C
Harrisburg, PA 17112-1793
Phone
(717) 652-5550
Fax
(717) 652-2488
NPI assigned
Nov 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2008

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

Authorized official

Name
Dr. Matthew S Boland, D.C.
Title
Owner
Phone
(717) 652-5550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X DC003322L PA Primary

Addresses

Primary practice location

915 N Mountain Rd
Suite C
Harrisburg, PA 17112-1793

Mailing address

915 N Mountain Rd
Suite C
Harrisburg, PA 17112-1793
Phone (717) 652-5550

Other identifiers 3

IdentifierTypeStateIssuer
4539759OtherPAAETNA
1737796OtherPAHIGHMARK BLUE SHIELD
50003591OtherPACAPITAL BLUE CROSS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1226448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226448000000",
    "number": "1205080611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 N MOUNTAIN RD",
            "address_2": "SUITE C",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171121793",
            "telephone_number": "717-652-5550",
            "fax_number": "717-652-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 N MOUNTAIN RD",
            "address_2": "SUITE C",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171121793",
            "telephone_number": "717-652-5550",
            "fax_number": "717-652-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLAND CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-12",
        "last_updated": "2008-11-12",
        "status": "A",
        "authorized_official_last_name": "BOLAND",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-652-5550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "PA",
            "license": "DC003322L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4539759",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1737796",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50003591",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.