Organization Active NPI

Boro Chiropractic PC

  • Chiropractor
  • Yardley, PA
National Provider Identifier
1316067598
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 009542 Issued in PA
Legal business name
BORO CHIROPRACTIC PC
Practice address
76 S Main St
Yardley, PA 19067-1511
Phone
(609) 723-0099
Fax
(215) 321-6533
NPI assigned
Mar 30, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Donna Lewis
Title
Manager
Phone
(215) 321-6555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC 009542 PA Primary

Addresses

Primary practice location

76 S Main St
Yardley, PA 19067-1511

Mailing address

76 S Main St
Yardley, PA 19067-1511
Phone (609) 723-0099

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140911001024 PA Part B Supplier - Clinic/Group Practice 3678792389 Receives reassigned benefits from 1 practitioner
Practice locations: Yardley, PA

National Provider Directory

National Provider Directory

Locations

76 S Main St
Yardley, PA 19067
Phone (215) 321-6555

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316067598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 S MAIN ST",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190671511",
            "telephone_number": "609-723-0099",
            "fax_number": "215-321-6533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 S MAIN ST",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190671511",
            "telephone_number": "609-723-0099",
            "fax_number": "215-321-6533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORO CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "215-321-6555"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC 009542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yardley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.