Darren Boom, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5110 Issued in KS

Practice address

1612 Industrial Park Dr
Paola, KS 66071-9528

Phone

(913) 294-5501

Fax

(913) 294-5343

NPI assigned

Aug 20, 2007

Last updated

Aug 20, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187568000000",
    "number": "1629261045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 INDUSTRIAL PARK DR",
            "city": "PAOLA",
            "state": "KS",
            "postal_code": "660719528",
            "telephone_number": "913-294-5501",
            "fax_number": "913-294-5343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 INDUSTRIAL PARK DR",
            "city": "PAOLA",
            "state": "KS",
            "postal_code": "660719528",
            "telephone_number": "913-294-5501",
            "fax_number": "913-294-5343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOM",
        "first_name": "DARREN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-20",
        "last_updated": "2007-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "5110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Bishop
• Leslie Bjork, PSY.D., LP
• Bkayali, LLC
• Liza Marie Blanc
• Brittney Bonham
• Julia C Bradbury, APRN
• Miranda Renee Brandt, APRN FNP-C
• Emigene Brown
• Joseph Allen Burbee, PT, DPT
• David James Burnett, D.P.M.

• Chiropractor in Paola, KS
• Providers in Paola, KS by specialty
• Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.