NPIMap

Organization Active NPI

Louisa Chiropractic Center, LLC

Doing business as Louisa Chiropractic Center

  • Chiropractor
  • Louisa, VA
National Provider Identifier
1346495520
Registry record updated Dec 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01040000734 Issued in VA
Legal business name
LOUISA CHIROPRACTIC CENTER, LLC
Doing business as
Louisa Chiropractic Center
Practice address
506 E Main St
Louisa, VA 23093-4100
Phone
(540) 967-2522
Fax
(540) 967-5878
NPI assigned
Dec 1, 2008
Last updated
Dec 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2008

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

Authorized official

Name
Dr. Glenn E. Boley, D.C.NPI 1740291426
Title
Clinic Director
Phone
(540) 967-2522

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01040000734 VA Primary

Addresses

Primary practice location

506 E Main St
Louisa, VA 23093-4100

Mailing address

506 E Main St
Louisa, VA 23093-4100
Phone (540) 967-2522

Other identifiers 2

IdentifierTypeStateIssuer
010100089MedicaidVA
01040000734OtherVASTATE LICENSE TO PRACTICE

Other names 1

  • Louisa Chiropractic Center Doing business as

National Provider Directory

National Provider Directory

Locations

506 East Main St
Louisa, VA 23093
Phone (540) 967-2522

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": "1228089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228089600000",
    "number": "1346495520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 E MAIN ST",
            "city": "LOUISA",
            "state": "VA",
            "postal_code": "230934100",
            "telephone_number": "540-967-2522",
            "fax_number": "540-967-5878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 E MAIN ST",
            "city": "LOUISA",
            "state": "VA",
            "postal_code": "230934100",
            "telephone_number": "540-967-2522",
            "fax_number": "540-967-5878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISA CHIROPRACTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-01",
        "last_updated": "2008-12-01",
        "status": "A",
        "authorized_official_last_name": "BOLEY",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "540-967-2522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "01040000734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010100089",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE TO PRACTICE",
            "identifier": "01040000734",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Louisa Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisa, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; 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.