Active NPI
Dan J Boyer, CLINICAL SOCIAL WORK
- Clinical Social Worker
- Columbus, IN
National Provider Identifier
1376501015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34003859A
- Practice address
- 3203 Middle Rd
Columbus, IN 47203-4427 - Phone
- (812) 373-2700
- Fax
- (812) 373-2710
- NPI assigned
- May 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34003859A | IN | Primary |
Addresses
Primary practice location
3203 Middle Rd
Columbus, IN 47203-4427
Mailing address
3203 Middle Rd
Columbus, IN 47203-4427
Phone (812) 373-2700
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000219051 | Other | IN | BLUE CROSS ANTHEM |
| 000000984113 | Other | IN | ANTHEM PIN |
| 080148475 | Other | RAILROAD MEDICARE PIN | |
| 34003859A | Other | IN | IN MEDICAL LICENSE |
| 1407861164 | Other | IN | GROUP NPI |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461628800000",
"number": "1376501015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3203 MIDDLE RD",
"city": "COLUMBUS",
"state": "IN",
"postal_code": "472034427",
"telephone_number": "812-373-2700",
"fax_number": "812-373-2710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3203 MIDDLE RD",
"city": "COLUMBUS",
"state": "IN",
"postal_code": "472034427",
"telephone_number": "812-373-2700",
"fax_number": "812-373-2710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYER",
"first_name": "DAN",
"middle_name": "J",
"credential": "CLINICAL SOCIAL WORK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2016-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34003859A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS ANTHEM",
"identifier": "000000219051",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PIN",
"identifier": "000000984113",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PIN",
"identifier": "080148475",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IN MEDICAL LICENSE",
"identifier": "34003859A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1407861164",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.