Organization Active NPI

Friendship Chiropractic Center

  • Rehabilitation Chiropractor
  • Sykesville, MD
National Provider Identifier
1710259742
Registry record updated Feb 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
S01221 Issued in MD
Legal business name
FRIENDSHIP CHIROPRACTIC CENTER
Practice address
13890 Forsythe Rd
Sykesville, MD 21784-5811
Phone
(410) 442-8088
Fax
(410) 442-1547
NPI assigned
Feb 7, 2012
Organization subpart
Yes
Parent organization
FRIENDSHIP CHIROPRACTIC CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 7, 2012

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

Authorized official

Name
Dr. Steven C Boesche, D.C.
Title
President
Phone
(410) 442-8088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X S01221 MD Primary

Addresses

Primary practice location

13890 Forsythe Rd
Sykesville, MD 21784-5811

Mailing address

PO Box 325
12800 Frederick Road
West Friendship, MD 21794-0325
Phone (410) 442-8088

Other identifiers 2

IdentifierTypeStateIssuer
F516-0001OtherMDBLUE CROSS
1639249998OtherMDNPI TYPE 1

National Provider Directory

National Provider Directory
Part of
Friendship Chiropractic Center

NPI Registry JSON

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

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328572800000",
    "number": "1710259742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 325",
            "address_2": "12800 FREDERICK ROAD",
            "city": "WEST FRIENDSHIP",
            "state": "MD",
            "postal_code": "217940325",
            "telephone_number": "410-442-8088",
            "fax_number": "410-442-1547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13890 FORSYTHE RD",
            "city": "SYKESVILLE",
            "state": "MD",
            "postal_code": "217845811",
            "telephone_number": "410-442-8088",
            "fax_number": "410-442-1547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDSHIP CHIROPRACTIC CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRIENDSHIP CHIROPRACTIC CENTER",
        "enumeration_date": "2012-02-07",
        "last_updated": "2012-02-07",
        "status": "A",
        "authorized_official_last_name": "BOESCHE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-442-8088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MD",
            "license": "S01221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "F516-0001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1639249998",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sykesville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.