Organization Active NPI

Boykin Chiropractic Office PC

  • Chiropractor
  • Colorado Springs, CO
National Provider Identifier
1730385543
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2638 Issued in CO
Legal business name
BOYKIN CHIROPRACTIC OFFICE PC
Practice address
2575 Montebello Dr W Ste 102
Colorado Springs, CO 80918-6959
Phone
(719) 578-8820
Fax
(719) 578-8821
NPI assigned
Jun 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Authorized official

Name
Mrs. Roberta Maria Boykin
Title
Business Manager
Phone
(719) 578-8820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2638 CO Primary

Addresses

Primary practice location

2575 Montebello Dr W Ste 102
Colorado Springs, CO 80918-6959

Mailing address

2575 Montebello Dr W Ste 102
Colorado Springs, CO 80918-6959
Phone (719) 578-8820

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040908000662 CO Part B Supplier - Clinic/Group Practice 5395711667 Receives reassigned benefits from 1 practitioner
Practice locations: Colorado Springs, CO

National Provider Directory

National Provider Directory

Locations

3364 Templeton Gap Rd
Colorado Springs, CO 80907
Phone (719) 578-8820

2575 Montebello Dr W
Ste 102
Colorado Springs, CO 80918
Phone (719) 578-8820

Practitioners & affiliated clinicians

Practitioners 11

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

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1730385543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 MONTEBELLO DR W STE 102",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809186959",
            "telephone_number": "719-578-8820",
            "fax_number": "719-578-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 MONTEBELLO DR W STE 102",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809186959",
            "telephone_number": "719-578-8820",
            "fax_number": "719-578-8821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOYKIN CHIROPRACTIC OFFICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "BOYKIN",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "719-578-8820",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "2638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.