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
- Last updated
- Jul 8, 2007
- 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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.