Individual provider Active NPI

Peter Victor Boyer, D.C.

  • Chiropractor
  • Springfield, VA
National Provider Identifier
1295812550
Registry record updated Aug 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556224 Issued in VA
Practice address
8136 Old Keene Mill Rd
A314
Springfield, VA 22152-1850
Phone
(703) 644-9311
Fax
(703) 644-3907
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104556224 VA Primary

Addresses

Primary practice location

8136 Old Keene Mill Rd
A314
Springfield, VA 22152-1850

Mailing address

8136 Old Keene Mill Rd
A314
Springfield, VA 22152-1850
Phone (703) 644-9311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050907000611 DC Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 5496740862 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation
Education
Logan College of Chiropractic, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8136 Old Keene Mill Rd
Suite A314
Springfield, VA 22152-1853
Phone (703) 644-9311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3311OHMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Care and Rehab of Northern Virginia Chiropractor CurrentSince Mar 1, 2012 Accepting new patients
Physicians Diagnostic & Rehabilitation Center of Warren in Past Accepting new patients
Physicians Diagnostic & Rehabilitation Center Inc Chiropractor Past Accepting new patients
Hutton Chiropractic Health Center, P.C. Chiropractor PastSince Sep 7, 2005 Accepting new patients

Locations

8136 Old Keene Mill Rd
Ste A314
Springfield, VA 22152
Phone (703) 644-9311

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376956800000",
    "number": "1295812550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8136 OLD KEENE MILL RD",
            "address_2": "A314",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221521850",
            "telephone_number": "703-644-9311",
            "fax_number": "703-644-3907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8136 OLD KEENE MILL RD",
            "address_2": "A314",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221521850",
            "telephone_number": "703-644-9311",
            "fax_number": "703-644-3907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYER",
        "first_name": "PETER",
        "middle_name": "VICTOR",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2013-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

Verify at the official NPI Registry.