Boardman Family Chiropractic, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5885 Issued in AZ

Legal business name

BOARDMAN FAMILY CHIROPRACTIC, P.C.

Practice address

10235 S 51St St
#170
Phoenix, AZ 85044-5218

Phone

(480) 704-1954

Fax

(480) 704-1663

NPI assigned

Aug 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John Boardman, D.C.NPI 1982660254

Title

President

Phone

(480) 704-1954

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John E Boardman, D.C.

  • Chiropractor
  • Phoenix, AZ
  • NPI 1982660254
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293494400000",
    "number": "1265625073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10235 S 51ST ST",
            "address_2": "#170",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850445218",
            "telephone_number": "480-704-1954",
            "fax_number": "480-704-1663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10235 S 51ST ST",
            "address_2": "#170",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850445218",
            "telephone_number": "480-704-1954",
            "fax_number": "480-704-1663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOARDMAN FAMILY CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-24",
        "last_updated": "2010-12-28",
        "status": "A",
        "authorized_official_last_name": "BOARDMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-704-1954",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DE5137",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Brixner Boag III, D.O.
• Heather Nicole Akyea Boakye-Wenzel, MD
• Lisette Danielle Boal, M.S., CCC-SLP
• Carla Boan, PA-C
• Imani Board
• Nicole Josette Boardman Mitcham, MD, MPH
• John E Boardman, D.C.
• David Michael Boarman, MSC LPC LISAC
• James D Boatman, LMSW
• Kenyon Boatman, RBT

• Chiropractor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; 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.

Verify at the official NPI Registry.