Organization Active NPI

Boneyard Chiropractic Clinic LLC

  • Chiropractor
  • Perrysburg, OH
National Provider Identifier
1427345883
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008306 Issued in MI
Legal business name
BONEYARD CHIROPRACTIC CLINIC LLC
Practice address
27108 Oakmead Dr
Perrysburg, OH 43551-2670
Phone
(419) 872-2100
Fax
(419) 872-2282
NPI assigned
Jul 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Authorized official

Name
Jaques Savoie, DC
Title
Owner
Phone
(419) 872-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301008306 MI Primary

Addresses

Primary practice location

27108 Oakmead Dr
Perrysburg, OH 43551-2670

Mailing address

27108 Oakmead Dr
Perrysburg, OH 43551-2670
Phone (419) 872-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130112000012 OH Part B Supplier - Clinic/Group Practice 4587817085 Receives reassigned benefits from 1 practitioner
Practice locations: Perrysburg, OH

National Provider Directory

National Provider Directory

Locations

27108 Oakmead Dr
Perrysburg, OH 43551
Phone (419) 872-2100

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607644800000",
    "number": "1427345883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27108 OAKMEAD DR",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435512670",
            "telephone_number": "419-872-2100",
            "fax_number": "419-872-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27108 OAKMEAD DR",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435512670",
            "telephone_number": "419-872-2100",
            "fax_number": "419-872-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONEYARD CHIROPRACTIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-06",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A",
        "authorized_official_last_name": "SAVOIE",
        "authorized_official_first_name": "JAQUES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-872-2100",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perrysburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; 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.