Active NPI
Christopher Boylan, D.C.
- Chiropractor
- Wernersville, PA
National Provider Identifier
1609802404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC-006010-L
- Practice address
- 367 W Penn Ave
Wernersville, PA 19565-1413 - Phone
- (610) 670-6333
- Fax
- (610) 670-8730
- NPI assigned
- Jun 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC-006010-L | PA | Primary |
Addresses
Primary practice location
367 W Penn Ave
Wernersville, PA 19565-1413
Mailing address
367 W Penn Ave
Wernersville, PA 19565-1413
Phone (610) 670-6333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC-006010-L | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BB & L , LLC | Chiropractor | Current | Accepting new patients |
Locations
367 W Penn Ave
Wernersville, PA 19565
Phone (610) 670-6333
Organizations & group practices 1
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.
-
- Chiropractor
- Ashland, PA
- NPI 1942364203
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609802404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "367 W PENN AVE",
"city": "WERNERSVILLE",
"state": "PA",
"postal_code": "195651413",
"telephone_number": "610-670-6333",
"fax_number": "610-670-8730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "367 W PENN AVE",
"city": "WERNERSVILLE",
"state": "PA",
"postal_code": "195651413",
"telephone_number": "610-670-6333",
"fax_number": "610-670-8730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYLAN",
"first_name": "CHRISTOPHER",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC-006010-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wernersville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.