Organization Active NPI

Boyd Chiropractic Clinic

  • Chiropractor
  • Erie, PA
National Provider Identifier
1649211392
Registry record updated Aug 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC006482L Issued in PA
Legal business name
BOYD CHIROPRACTIC CLINIC
Practice address
3271 W 26TH St
Erie, PA 16506-2537
Phone
(814) 836-0440
Fax
(814) 835-0256
NPI assigned
Jun 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2016

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

Authorized official

Name
Karen E Alexviczh
Title
Billing Manager
Phone
(814) 836-0440

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X DC006482L PA Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X DC006488L PA

Addresses

Primary practice location

3271 W 26TH St
Erie, PA 16506-2537

Mailing address

3271 W 26TH St
Erie, PA 16506-2537
Phone (814) 836-0440

Other identifiers 1

IdentifierTypeStateIssuer
1649211392OtherNPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050422000065 PA Part B Supplier - Clinic/Group Practice 5395783054 Receives reassigned benefits from 2 practitioners
Practice locations: Erie, PA

National Provider Directory

National Provider Directory

Locations

3271 W 26th St
Erie, PA 16506
Phone (814) 836-0440

Practitioners & affiliated clinicians

Practitioners 2

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": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471478400000",
    "number": "1649211392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3271 W 26TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165062537",
            "telephone_number": "814-836-0440",
            "fax_number": "814-835-0256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3271 W 26TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165062537",
            "telephone_number": "814-836-0440",
            "fax_number": "814-835-0256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOYD CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2016-08-18",
        "status": "A",
        "authorized_official_last_name": "ALEXVICZH",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "814-836-0440"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC006482L",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC006488L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1649211392",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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.