Organization Active NPI

Boston Chiropractic

  • Chiropractor
  • Lubbock, TX
National Provider Identifier
1376865741
Registry record updated Feb 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6263 Issued in TX
Legal business name
BOSTON CHIROPRACTIC
Practice address
2630 26TH St
Lubbock, TX 79410-2220
Phone
(806) 765-8443
Fax
(806) 749-1181
NPI assigned
Feb 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2010

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

Authorized official

Name
Dr. Stephen Brett Vanosdale, D.C.
Title
Chiropractor
Phone
(806) 765-8443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 6263 TX Primary

Addresses

Primary practice location

2630 26TH St
Lubbock, TX 79410-2220

Mailing address

2630 26TH St
Lubbock, TX 79410-2220
Phone (806) 765-8443

National Provider Directory

National Provider Directory

Locations

2630 26th St
Lubbock, TX 79410
Phone (806) 239-5746

NPI Registry JSON

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

{
    "created_epoch": "1267056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267056000000",
    "number": "1376865741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 26TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794102220",
            "telephone_number": "806-765-8443",
            "fax_number": "806-749-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 26TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794102220",
            "telephone_number": "806-765-8443",
            "fax_number": "806-749-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-25",
        "last_updated": "2010-02-25",
        "status": "A",
        "authorized_official_last_name": "VANOSDALE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "BRETT",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "806-765-8443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "6263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; 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.