Boulton Soul Align Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BOULTON SOUL ALIGN CHIROPRACTIC INC

Practice address

300 S El Camino Real Ste 202
San Clemente, CA 92672-4070

Phone

(916) 337-1404

NPI assigned

Dec 21, 2022

Organization subpart

No

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

Authorized official

Name

Whitney Lynn Boulton, DCNPI 1225612583

Title

Owner

Phone

(916) 337-1404

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Whitney Lynn Boulton, DC

  • Chiropractor
  • San Clemente, CA
  • NPI 1225612583
  Medicare reassignment Care Compare group NPD Authorized official
• Hannah Kate Galsterer, DC

  • Chiropractor
  • San Clemente, CA
  • NPI 1750172904
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1671580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672704000000",
    "number": "1396457305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 CAZADOR LN UNIT C",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926726643",
            "telephone_number": "916-337-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S EL CAMINO REAL STE 202",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926724070",
            "telephone_number": "916-337-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULTON SOUL ALIGN CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-21",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A",
        "authorized_official_last_name": "BOULTON",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-337-1404",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE I",
            "identifier": "1225612583",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED DOCTOR OF CHIROPORACTIC",
            "identifier": "DC36084",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bohica Investments LLC (Encinitas Detox)
• Jessica Ann Boller, BCBA
• Bone Docs Inc
• Erika Bonilla, D.C.
• Brian Boquiren
• Whitney Lynn Boulton, DC
• Teresa May Bourgo, ASW
• Brent C Boyd, DDS
• Taryn Marie Boyer Griffin
• Brady Nielsen DDS, Inc.

• Chiropractor in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.