Organization Active NPI

Boggs Chiropractic LLC

  • Chiropractor
  • Uniontown, OH
National Provider Identifier
1487749503
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3533 Issued in OH
Legal business name
BOGGS CHIROPRACTIC LLC
Practice address
4212 Town Xing Blvd
Uniontown, OH 44685-7980
Phone
(330) 896-2424
Fax
(330) 896-3294
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Authorized official

Name
Casey Ray Boggs, D,C.NPI 1588699680
Title
Doctor/Manager
Phone
(330) 896-2424

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3533 OH Primary

Addresses

Primary practice location

4212 Town Xing Blvd
Uniontown, OH 44685-7980

Mailing address

4212 Town Xing Blvd
Uniontown, OH 44685-7980
Phone (330) 896-2424

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150227001338 OH Part B Supplier - Clinic/Group Practice 2769489970 Receives reassigned benefits from 2 practitioners
Practice locations: Uniontown, OH

National Provider Directory

National Provider Directory

Locations

4212 Town Crossing Blvd
Green, OH 44685
Phone (330) 896-2424

3939 Massillon Rd
Green, OH 44685
Phone (330) 896-2424

3939 Massillon Rd
Ste 201
Green, OH 44685
Phone (330) 896-2424

Practitioners & affiliated clinicians

Practitioners 3

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": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688083200000",
    "number": "1487749503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4212 TOWN XING BLVD",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446857980",
            "telephone_number": "330-896-2424",
            "fax_number": "330-896-3294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 TOWN XING BLVD",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446857980",
            "telephone_number": "330-896-2424",
            "fax_number": "330-896-3294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOGGS CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A",
        "authorized_official_last_name": "BOGGS",
        "authorized_official_first_name": "CASEY",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "DOCTOR/MANAGER",
        "authorized_official_telephone_number": "330-896-2424",
        "authorized_official_credential": "D,C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.