Boivin Family Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BOIVIN FAMILY CHIROPRACTIC PLLC

Practice address

12590 Perry Hwy Ste 200
Wexford, PA 15090-1550

Phone

(724) 799-8004

NPI assigned

Dec 18, 2012

Last updated

Nov 15, 2023By 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

Dr. Randal R. Boivin, D.C.NPI 1073606877

Title

Owner

Phone

(315) 635-3100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, PA2 enrollments

Enrollment records 2

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.

• Randal Robert Boivin, DC

  • Neurology Chiropractor
  • Wexford, PA
  • NPI 1073606877

  NY

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700006400000",
    "number": "1730425885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12590 PERRY HWY STE 200",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150901550",
            "telephone_number": "724-799-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12590 PERRY HWY STE 200",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150901550",
            "telephone_number": "724-799-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOIVIN FAMILY CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-18",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "BOIVIN",
        "authorized_official_first_name": "RANDAL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-635-3100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Bland
• Elizabeth Blasik
• Sandra Alane Block, LCSW
• Shanna M Bloomgren, PTA
• Blossom Physical Therapy and Wellness LLC
• Randal Robert Boivin, DC
• Leyna Bonanno, LPC
• Madison Book, OTR/L
• David Boone, MS/OTRL
• Jeffrey Thomas Boren, H.I.S.

• Chiropractor in Wexford, PA
• Providers in Wexford, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.