Organization Active NPI

Borst Family Chiropractic Inc

  • Chiropractor
  • Yellow Springs, OH
National Provider Identifier
1437529427
Registry record updated Oct 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2168 Issued in OH
Legal business name
BORST FAMILY CHIROPRACTIC INC
Practice address
100 Corry St
Yellow Springs, OH 45387-1809
Phone
(937) 767-2733
Fax
(937) 767-2736
NPI assigned
Oct 2, 2015
Last updated
Oct 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2015

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

Authorized official

Name
Dr. Brenda J Borst, D.C.NPI 1700067196
Title
President
Phone
(937) 767-2733

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2168 OH Primary

Addresses

Primary practice location

100 Corry St
Yellow Springs, OH 45387-1809

Mailing address

100 Corry St
Yellow Springs, OH 45387-1809
Phone (937) 767-2733

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151118001296 OH Part B Supplier - Clinic/Group Practice 9032419353 Receives reassigned benefits from 1 practitioner
Practice locations: Yellow Springs, OH

National Provider Directory

National Provider Directory

Locations

100 Corry St
Yellow Springs, OH 45387
Phone (937) 321-9794

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1443744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443744000000",
    "number": "1437529427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CORRY ST",
            "city": "YELLOW SPRINGS",
            "state": "OH",
            "postal_code": "453871809",
            "telephone_number": "937-767-2733",
            "fax_number": "937-767-2736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CORRY ST",
            "city": "YELLOW SPRINGS",
            "state": "OH",
            "postal_code": "453871809",
            "telephone_number": "937-767-2733",
            "fax_number": "937-767-2736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORST FAMILY CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-02",
        "last_updated": "2015-10-02",
        "status": "A",
        "authorized_official_last_name": "BORST",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-767-2733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yellow Springs, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2015; 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.