Active NPI
Bossert Chiropractic
- Chiropractor
- Beech Creek, PA
National Provider Identifier
1225848302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- BOSSERT CHIROPRACTIC
- Practice address
- 354 Eagle Valley Rd
Beech Creek, PA 16822-7201 - Phone
- (570) 962-3075
- Fax
- (570) 962-2573
- NPI assigned
- Jan 10, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Matthew Bossert, DC
- Title
- Owner
- Phone
- (570) 263-0281
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
354 Eagle Valley Rd
Beech Creek, PA 16822-7201
Mailing address
PO Box 495
Beech Creek, PA 16822-0495
Phone (570) 962-3075
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250325000407 | PA | Part B Supplier - Clinic/Group Practice | 5294258810 |
Receives reassigned benefits from 1 practitioner Practice locations: Beech Creek, PA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Beech Creek, PA
- NPI 1972665735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736467200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736467200000",
"number": "1225848302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 495",
"city": "BEECH CREEK",
"state": "PA",
"postal_code": "168220495",
"telephone_number": "570-962-3075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "354 EAGLE VALLEY RD",
"city": "BEECH CREEK",
"state": "PA",
"postal_code": "168227201",
"telephone_number": "570-962-3075",
"fax_number": "570-962-2573"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOSSERT CHIROPRACTIC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-10",
"last_updated": "2025-01-10",
"certification_date": "2025-01-10",
"status": "A",
"authorized_official_last_name": "BOSSERT",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "570-263-0281",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beech Creek, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.