David Boman, DC, CFMP, OT/L, MBA

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

14090 Issued in TX

Practice address

601 Franklin Ave Apt 4E
Waco, TX 76701-2057

Phone

(254) 307-3113

NPI assigned

Oct 21, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration

State licenses

Practice roles

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.

• Roots Waco, LLC

  • Chiropractor
  • Waco, TX
  • NPI 1831741784
  Medicare reassignment Authorized official
• Hawaiian Rehabilitation Services Inc

  • Rehabilitation Clinic/Center
  • Kailua-Kona, HI
  • NPI 1518935162
  NPD (past)

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1306098371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 FRANKLIN AVE APT 4E",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767012057",
            "telephone_number": "254-307-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 FRANKLIN AVE APT 4E",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767012057",
            "telephone_number": "254-307-3113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 NE Mother Joseph Pl",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986643200",
            "country_code": "US",
            "telephone_number": "360-256-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOMAN",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DC, CFMP, OT/L, MBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-21",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OTOOOO2375",
            "primary": false
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "TX",
            "license": "14090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy B Boling, PH.D.
• Dusti Bollinger
• Debra Sue Bolt, MSW
• Brett J Bolte, MD
• Jessica Boltinghouse, PSY. D.
• Katelyn Bone, APRN FNP
• Sally Diane Bonham, BSN, MSN, FNP, IBCLC
• Anna Christine Bonner
• Corbett Howard Boone, M.D.
• Nata Marie Boone, LPC

• Nutrition Chiropractor in Waco, TX
• Providers in Waco, TX by specialty
• Nutrition Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.