Booth Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2480 Issued in OH

Legal business name

BOOTH CHIROPRACTIC

Practice address

55741 National Rd
Bridgeport, OH 43912-1528

Phone

(740) 633-9922

Fax

(740) 633-9924

NPI assigned

Feb 25, 2008

Last updated

Sep 30, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. April L Booth

Title

Office Manager

Phone

(740) 633-9922

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gerald C Booth, DC

  • Chiropractor
  • Bridgeport, OH
  • NPI 1689732778
  Medicare reassignment NPD

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1649449695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55741 NATIONAL RD",
            "city": "BRIDGEPORT",
            "state": "OH",
            "postal_code": "439121528",
            "telephone_number": "740-633-9922",
            "fax_number": "740-633-9924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55741 NATIONAL RD",
            "city": "BRIDGEPORT",
            "state": "OH",
            "postal_code": "439121528",
            "telephone_number": "740-633-9922",
            "fax_number": "740-633-9924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOOTH CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "BOOTH",
        "authorized_official_first_name": "APRIL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE  MANAGER",
        "authorized_official_telephone_number": "740-633-9922",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2019701",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013230100",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olivia Becker
• Sierra Dawn Betts, BSW
• Donna Sue Blaney, NON-AGENCY PROVIDER
• Audrey Ann Bolin
• Kennedi Boone, BCBA
• Gerald C Booth, DC
• Bridgeport Exempted Village School District
• Bridgeport Eyecare LLC
• Brookside Volunteer Fire Department
• Charles K. Dematte DDS Inc

• Chiropractor in Bridgeport, OH
• Providers in Bridgeport, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.