Individual provider Active NPI

Lawrence P Boyd III, DC

  • Chiropractor
  • Belle Vernon, PA
National Provider Identifier
1306060645
Registry record updated May 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009766 Issued in PA
Practice address
1100 Fayette Ave
Belle Vernon, PA 15012-2304
Phone
(724) 929-6077
Fax
(724) 929-9410
NPI assigned
Apr 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC009766 PA Primary

Addresses

Primary practice location

1100 Fayette Ave
Belle Vernon, PA 15012-2304

Mailing address

64 E Wine St
Uniontown, PA 15401-2763
Phone (724) 929-6077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150416000942 WV Practitioner - Chiropractic 3173695848 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Health & Wellness, PLLC Chiropractor CurrentSince Feb 6, 2015 Accepting new patients
Laurel Mountain Chiropractic Center LLC Chiropractor PastSince Mar 29, 2024 Accepting new patients
Porreca Chiropractic Center, Inc. Chiropractor PastSince May 1, 2007 Accepting new patients

Locations

699 Burroughs St
Morgantown, WV 26505
Phone (304) 225-9355

Organizations & group practices 3

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": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431561600000",
    "number": "1306060645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 E WINE ST",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154012763",
            "telephone_number": "724-929-6077",
            "fax_number": "724-929-9410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 FAYETTE AVE",
            "city": "BELLE VERNON",
            "state": "PA",
            "postal_code": "150122304",
            "telephone_number": "724-929-6077",
            "fax_number": "724-929-9410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "LAWRENCE",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2015-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belle Vernon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; 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.