Organization Active NPI

Boyer Chiropractic and Wellness Center PC

  • Chiropractor
  • Elderton, PA
National Provider Identifier
1780116335
Registry record updated Apr 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009067 Issued in PA
Legal business name
BOYER CHIROPRACTIC AND WELLNESS CENTER PC
Practice address
215 South Lytle Street
Elderton, PA 15736-0236
Phone
(724) 354-2617
Fax
(724) 354-2703
NPI assigned
Apr 3, 2017
Last updated
Apr 3, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2017

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

Authorized official

Name
Dr. Jamie Boyer, DCNPI 1619082823
Title
Owner/President
Phone
(724) 354-2617

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC009067 PA Primary

Addresses

Primary practice location

215 South Lytle Street
Elderton, PA 15736-0236

Mailing address

PO Box 236
Elderton, PA 15736-0236
Phone (724) 354-2617

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170413001079 PA Part B Supplier - Clinic/Group Practice 0042596694 Receives reassigned benefits from 1 practitioner
Practice locations: Elderton, PA; Indiana, PA

National Provider Directory

National Provider Directory

Locations

706 Philadelphia St
Indiana, PA 15701
Phone (724) 357-9323

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491177600000",
    "number": "1780116335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 236",
            "city": "ELDERTON",
            "state": "PA",
            "postal_code": "157360236",
            "telephone_number": "724-354-2617",
            "fax_number": "724-354-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 SOUTH LYTLE STREET",
            "city": "ELDERTON",
            "state": "PA",
            "postal_code": "157360236",
            "telephone_number": "724-354-2617",
            "fax_number": "724-354-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOYER CHIROPRACTIC AND WELLNESS CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-03",
        "last_updated": "2017-04-03",
        "status": "A",
        "authorized_official_last_name": "BOYER",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "724-354-2617",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elderton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; 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.