Individual provider Active NPI

John Jeffrey Bos, DC

  • Orthopedic Chiropractor
  • Winter Springs, FL
National Provider Identifier
1215089834
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
CH0006738 Issued in FL
Practice address
1425 Tuskawilla Rd
Suite 153
Winter Springs, FL 32708-5289
Phone
(407) 695-3000
Fax
(407) 695-3888
NPI assigned
Jan 16, 2007
Last updated
Feb 1, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Chiropractor 111NX0800X CH0006738 FL Primary

Addresses

Primary practice location

1425 Tuskawilla Rd
Suite 153
Winter Springs, FL 32708-5289

Mailing address

1425 Tuskawilla Road
Suite 153
Winter Springs, FL 32708-5204
Phone (407) 695-3000

Other identifiers 1

IdentifierTypeStateIssuer
55534OtherFLBCBS

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

Practice roles

OrganizationSpecialtyStatusNew patients
J Jeffrey Bos D C P a Orthopedic PastSince Jan 29, 1999 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1215089834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 TUSKAWILLA ROAD",
            "address_2": "SUITE 153",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327085204",
            "telephone_number": "407-695-3000",
            "fax_number": "407-695-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 TUSKAWILLA RD",
            "address_2": "SUITE 153",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327085289",
            "telephone_number": "407-695-3000",
            "fax_number": "407-695-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOS",
        "first_name": "JOHN",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "FL",
            "license": "CH0006738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "55534",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; 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.