Active NPI
Boyd Chiropractic Clinic
- Chiropractor
- Erie, PA
National Provider Identifier
1649211392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC006482L
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC006482L | PA | Primary |
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649211392 | Other | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- Erie, PA
- NPI 1215939020
-
- Chiropractor
- Erie, PA
- NPI 1144222126
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.