Organization Active NPI

Open Range Chiropractic LLC

  • Chiropractor
  • Rural Retreat, VA
National Provider Identifier
1669286902
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
OPEN RANGE CHIROPRACTIC LLC
Practice address
7061 W Lee Hwy
Rural Retreat, VA 24368-2933
Phone
(276) 250-5059
NPI assigned
Feb 6, 2025
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Lily Mae Boyd, DCNPI 1134930191
Title
Owner
Phone
(518) 879-4305

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20250408000230 VA Part B Supplier - Clinic/Group Practice 7416471834 Receives reassigned benefits from 1 practitioner
Practice locations: Rural Retreat, VA

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

7061 W Lee Hwy
Rural Retreat, VA 24368-2933

Mailing address

7061 W Lee Hwy
Rural Retreat, VA 24368-2933
Phone (276) 250-5059

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 6, 2025.

{
    "created_epoch": "1738800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1669286902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7061 W LEE HWY",
            "city": "RURAL RETREAT",
            "state": "VA",
            "postal_code": "243682933",
            "telephone_number": "276-250-5059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7061 W LEE HWY",
            "city": "RURAL RETREAT",
            "state": "VA",
            "postal_code": "243682933",
            "telephone_number": "276-250-5059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN RANGE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-06",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "LILY",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-879-4305",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rural Retreat, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; 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.