Individual provider Active NPI

Susan L Bosler, D.C.

  • Chiropractor
  • New Haven, IN
National Provider Identifier
1801882188
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08001452A Issued in IN
Practice address
108 Landin Rd
New Haven, IN 46774-1168
Phone
(260) 493-6565
Fax
(260) 493-6567
NPI assigned
Sep 22, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08001452A IN Primary

Addresses

Primary practice location

108 Landin Rd
New Haven, IN 46774-1168

Mailing address

108 Landin Rd
New Haven, IN 46774-1168
Phone (260) 493-6565

Other identifiers 1

IdentifierTypeStateIssuer
000000086134OtherINANTHEM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110119000565 IN Practitioner - Chiropractic 8921287251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

108 Landin Rd
New Haven, IN 46774-1168
Phone (260) 493-6565

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08001452AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Resource Center Chiropractor PastSince Aug 1, 2011 Accepting new patients
Dupont Chiropractic Resource Center Inc. Chiropractor PastSince Jul 15, 2011 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1801882188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 LANDIN RD",
            "city": "NEW HAVEN",
            "state": "IN",
            "postal_code": "467741168",
            "telephone_number": "260-493-6565",
            "fax_number": "260-493-6567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 LANDIN RD",
            "city": "NEW HAVEN",
            "state": "IN",
            "postal_code": "467741168",
            "telephone_number": "260-493-6565",
            "fax_number": "260-493-6567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSLER",
        "first_name": "SUSAN",
        "middle_name": "L",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001452A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000086134",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.