The Boothbay Chiropractor

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CR1032 Issued in ME

Legal business name

THE BOOTHBAY CHIROPRACTOR

Practice address

18 West St
Boothbay Harbor, ME 04538-1849

Phone

(207) 633-5500

Fax

(207) 633-0805

NPI assigned

Oct 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ronald Paul Bouffard, B.S., D.C.

Title

President

Phone

(207) 633-5500

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861581225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 WEST ST",
            "city": "BOOTHBAY HARBOR",
            "state": "ME",
            "postal_code": "045381849",
            "telephone_number": "207-633-5500",
            "fax_number": "207-633-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 WEST ST",
            "city": "BOOTHBAY HARBOR",
            "state": "ME",
            "postal_code": "045381849",
            "telephone_number": "207-633-5500",
            "fax_number": "207-633-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BOOTHBAY CHIROPRACTOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOUFFARD",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-633-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "B.S., D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR1032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Boothbay Harbor, ME
• Providers in Boothbay Harbor, ME by specialty
• Chiropractor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.