Individual provider Active NPI

Joshua Williams Boudar, DC

  • Chiropractor
  • Breckenridge, CO
National Provider Identifier
1316738867
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHR.0008928 Issued in CO
Practice address
324-2 North Main St.
Breckenridge, CO 80498
Phone
(970) 453-7809
NPI assigned
May 14, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHR.0008928 CO Primary

Addresses

Primary practice location

324-2 North Main St.
Breckenridge, CO 80498

Mailing address

324-2 North Main St.
Breckenridge, CO 80498
Phone (970) 453-7809

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CHR.0008928COMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1747180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1316738867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324-2 NORTH MAIN ST.",
            "city": "BRECKENRIDGE",
            "state": "CO",
            "postal_code": "80498",
            "telephone_number": "970-453-7809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324-2 NORTH MAIN ST.",
            "city": "BRECKENRIDGE",
            "state": "CO",
            "postal_code": "80498",
            "telephone_number": "970-453-7809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUDAR",
        "first_name": "JOSHUA",
        "middle_name": "WILLIAMS",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-14",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0008928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Breckenridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; 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.