Organization Active NPI

Bovard Chiropractic Center PC

  • Chiropractor
  • Charlotte, NC
National Provider Identifier
1255377537
Registry record updated Mar 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2384 Issued in NC
Legal business name
BOVARD CHIROPRACTIC CENTER PC
Practice address
8918 Blakeney Professional Drive
Suite 110
Charlotte, NC 28277
Phone
(704) 544-6880
Fax
(704) 541-7880
NPI assigned
Jun 22, 2006
Last updated
Mar 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2008

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

Authorized official

Name
Dr. John Michael Bovard, DCNPI 1790873917
Title
Doctor of Chiropractic
Phone
(704) 544-6880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2384 NC Primary

Addresses

Primary practice location

8918 Blakeney Professional Drive
Suite 110
Charlotte, NC 28277

Mailing address

8918 Blakeney Professional Drive
Suite 110
Charlotte, NC 28277
Phone (704) 544-6880

Other identifiers 1

IdentifierTypeStateIssuer
890827JMedicaidNC

National Provider Directory

National Provider Directory

Locations

8918 Blakeney Professional Dr
Ste 110
Charlotte, NC 28277
Phone (704) 544-6880

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206489600000",
    "number": "1255377537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8918 BLAKENEY PROFESSIONAL DRIVE",
            "address_2": "SUITE 110",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28277",
            "telephone_number": "704-544-6880",
            "fax_number": "704-541-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8918 BLAKENEY PROFESSIONAL DRIVE",
            "address_2": "SUITE 110",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28277",
            "telephone_number": "704-544-6880",
            "fax_number": "704-541-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOVARD CHIROPRACTIC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2008-03-26",
        "status": "A",
        "authorized_official_last_name": "BOVARD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "704-544-6880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890827J",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.