Matthew Stephen Boland, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

003322-L Issued in PA

Practice address

915 North Mountain Rd
Suite C
Harrisburg, PA 17112

Phone

(717) 652-5550

Fax

(717) 652-2488

NPI assigned

Nov 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Medical Pain Management PC

  • General Practice Physician
  • Harrisburg, PA
  • NPI 1639596794
  NPD
• Boland Chiropractic Inc.

  • Chiropractor
  • Harrisburg, PA
  • NPI 1942373402
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217203200000",
    "number": "1295807600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 NORTH MOUNTAIN RD",
            "address_2": "SUITE C",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "17112",
            "telephone_number": "717-652-5550",
            "fax_number": "717-652-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 NORTH MOUNTAIN RD",
            "address_2": "SUITE C",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "17112",
            "telephone_number": "717-652-5550",
            "fax_number": "717-652-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLAND",
        "first_name": "MATTHEW",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2008-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "003322-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4539759",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE/DME",
            "identifier": "5712090001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Bohr, M.S.
• Melissa Boisjoli-Langlois, M.D.
• Boland Chiropractic Inc.
• Boland Chiropractic Inc.
• Mark S Boland, DO FACOS
• Bold Steps ABA of PA
• Bold Steps of PA LLC
• Mary Cardosa Bolduc, CMA PMAC
• Timothy Boley, M.D.
• Janel Bolig

• Chiropractor in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Chiropractor in Pennsylvania

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