Boardman Family Chiropractic PSC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BOARDMAN FAMILY CHIROPRACTIC PSC

Practice address

837 Eastern Byp Ste a
Richmond, KY 40475-3326

Phone

(606) 831-4432

Fax

(859) 623-2037

NPI assigned

Jan 29, 2007

Organization subpart

No

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

Authorized official

Name

Jeremiah HolmesNPI 1689771081

Title

DC Owner

Phone

(606) 831-4432

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Core Health Centers of Richmond Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Practitioners 3

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

• Jeremiah Holmes, DC

  • Chiropractor
  • Ashland, KY
  • NPI 1689771081
  Medicare reassignment NPD Authorized official
• Kathleen Rizenbergs, DC

  • Chiropractor
  • Richmond, KY
  • NPI 1366959462
  Medicare reassignment NPD
• Douglas J Breger, D.C.

  • Chiropractor
  • Louisville, KY
  • NPI 1659452738
  Medicare reassignment

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1679619829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 EASTERN BYP STE A",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404753326",
            "telephone_number": "606-831-4432",
            "fax_number": "859-623-2037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 EASTERN BYP STE A",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404753326",
            "telephone_number": "606-831-4432",
            "fax_number": "859-623-2037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 Geri Ln",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "KY",
            "postal_code": "404752689",
            "country_code": "US",
            "telephone_number": "859-623-4123",
            "fax_number": "859-623-2037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BOARDMAN FAMILY CHIROPRACTIC PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_title_or_position": "DC OWNER",
        "authorized_official_telephone_number": "606-831-4432"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHA",
            "identifier": "000000088188",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7646218",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000192918",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100588260",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Core Health Centers of Richmond",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nicholas Patrick Boland, DPT
• Sheriese Bone, LCSW
• Tara Terina Bonilla, OTR/L

• Chiropractor in Richmond, KY
• Providers in Richmond, KY by specialty
• Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.