Active NPI
Thaddeus C Bosman, D.C.
- Chiropractor
- Twinsburg, OH
National Provider Identifier
1215089107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC1174
- Practice address
- 8984 Darrow Rd
Twinsburg, OH 44087-2186 - Phone
- (330) 425-2101
- Fax
- (330) 963-0478
- NPI assigned
- Jan 18, 2007
- 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 | DC1174 | OH | Primary |
Addresses
Primary practice location
8984 Darrow Rd
Twinsburg, OH 44087-2186
Mailing address
8984 Darrow Rd
Twinsburg, OH 44087-2186
Phone (330) 425-2101
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000136035 | Other | OH | ANTHEM PIN NUMBER |
| 341657278 | Other | OH | COMMERCIAL INSURANCE PIN |
| P00319931 | Other | OH | RAILROAD MEDICARE PIN |
| 0655643 | Medicaid | OH | |
| 34165727800 | Other | OH | WORKERS' COMPENSATION PIN |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC1174 | OH | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Twinsburg Chiropractic Center | Chiropractor | Past | 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.
-
- Chiropractor
- Twinsburg, OH
- NPI 1750808218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1215089107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8984 DARROW RD",
"city": "TWINSBURG",
"state": "OH",
"postal_code": "440872186",
"telephone_number": "330-425-2101",
"fax_number": "330-963-0478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8984 DARROW RD",
"city": "TWINSBURG",
"state": "OH",
"postal_code": "440872186",
"telephone_number": "330-425-2101",
"fax_number": "330-963-0478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSMAN",
"first_name": "THADDEUS",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-18",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "DC1174",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PIN NUMBER",
"identifier": "000000136035",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL INSURANCE PIN",
"identifier": "341657278",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PIN",
"identifier": "P00319931",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0655643",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS' COMPENSATION PIN",
"identifier": "34165727800",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Twinsburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.