Individual provider Active NPI

Andrew William Boswell, D.C.

  • Chiropractor
  • Rock Island, IL
National Provider Identifier
1366736308
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038011948 Issued in IL
Practice address
1614 2ND Ave
Rock Island, IL 61201-8603
Phone
(309) 786-1700
NPI assigned
Jun 7, 2011
Last updated
Jun 7, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038011948 IL Primary

Addresses

Primary practice location

1614 2ND Ave
Rock Island, IL 61201-8603

Mailing address

1614 2ND Ave
Rock Island, IL 61201-8603
Phone (309) 786-1700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201218000806 DC Practitioner - Chiropractic 3577612217 Reassigns benefits to 3 organizations
I20250603000103 VA Practitioner - Chiropractic 3577612217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Rxwellness Spine and Health - Ashburn LLCGroup PAC ID 7517336456, 5 clinicians

Practice addresses (Care Compare)

43780 Central Station Dr
Suite 100
Ashburn, VA 20147-7206
Phone (703) 904-9666

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038011948ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rxwellness Spine & Health - Laurel Chiropractor CurrentSince May 12, 2025 Accepting new patients
Rxwellness Spine & Health - Bowie Chiropractor CurrentSince Jun 10, 2025 Accepting new patients
Rxwellness Spine & Health - Ashburn LLC Chiropractor CurrentSince Apr 16, 2025 Accepting new patients
United Wellness Center and Sports Rehab FC LLC CurrentSince Jul 26, 2024 Accepting new patients
United Chiropractic Center PastSince Sep 29, 2009 Accepting new patients
Expressions of Life Chiropractic Studio Chiropractor PastSince Apr 20, 2009 Accepting new patients

Locations

4345 Northview Dr
Bowie, MD 20716
Phone (301) 464-5656

525 Main St
Ste 105
Laurel, MD 20707
Phone (301) 725-6884

43780 Central Station Dr
Ste 100
Ashburn, VA 20147

510 W Annandale Rd
Ste 300
Falls Church, VA 22046
Phone (703) 600-8208

950 Herndon Pkwy
Ste 130
Herndon, VA 20170
Phone (703) 272-5402

1760 Old Meadow Rd
Ste 500
McLean, VA 22102
Phone (703) 437-8195

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307404800000",
    "number": "1366736308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1614 2ND AVE",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612018603",
            "telephone_number": "309-786-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614 2ND AVE",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612018603",
            "telephone_number": "309-786-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSWELL",
        "first_name": "ANDREW",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-07",
        "last_updated": "2011-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Island, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.