Alex Landon Boss, D.C.
Individual provider Active NPI Chiropractor · Osage City, KS
NPI 1619239803 · NPPES record last updated Nov 11, 2012
Key facts
- NPI
- 1619239803
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 01-05482 (KS)
- Practice address
- 415 Market St
Osage City, KS 66523-1155 - Phone
- (785) 806-4198
- NPI assigned
- Jun 13, 2012
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130122000400 | KS | Practitioner - Chiropractic | 9133372329 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01-05482 | KS | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 01-05482 | KS | Yes |
Addresses
Primary practice location
415 Market St
Osage City, KS 66523-1155
Mailing address
4472 W 269TH St
Osage City, KS 66523-9017
Phone (785) 806-4198
Other providers in Osage City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.