Karl Clayton Boone, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

332 Issued in WV

Practice address

121 S Kanawha St
Buckhannon, WV 26201

Phone

(304) 472-7161

Fax

(304) 472-2294

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Country Roads Wellness Collective, PLLC

  • Chiropractor
  • Philippi, WV
  • NPI 1912651811
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350000000000",
    "number": "1407940679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S KANAWHA ST",
            "city": "BUCKLANNON",
            "state": "WV",
            "postal_code": "26201",
            "telephone_number": "304-472-7161",
            "fax_number": "304-472-2294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S KANAWHA ST",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "26201",
            "telephone_number": "304-472-7161",
            "fax_number": "304-472-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOONE",
        "first_name": "KARL",
        "middle_name": "CLAYTON",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2012-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMP",
            "identifier": "1069589",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013145000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000143921",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Suzanne Bohman, MA, LPC, NCC
• Jessica Bohman
• Toni Michelle Bolar, MS, LAT, ATC, CES
• Marie Frances Bond
• Cathy L Bonner
• Thomas Paul Boone
• Carrie Bowers
• Cheryl Ann Bowers, PA-C
• Vickie Bowyer
• Susan Boyce

• Chiropractor in Buckhannon, WV
• Providers in Buckhannon, WV by specialty
• Chiropractor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; 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.