Boardman Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BOARDMAN CHIROPRACTIC LLC

Practice address

918 Trailwood Dr Ste 1
Youngstown, OH 44512-5037

Phone

(330) 953-3353

Fax

(330) 953-3356

NPI assigned

Jul 25, 2023

Last updated

Nov 14, 2024By 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

Jonathan Braatz, DCNPI 1235661638

Title

Owner

Phone

(330) 953-3353

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 2

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.

• Jonathan Michael Braatz, D.C.

  • Chiropractor
  • Youngstown, OH
  • NPI 1235661638
  Medicare reassignment NPD Authorized official
• Richard J Marina, MD

  • Gastroenterology Physician
  • Youngstown, OH
  • NPI 1144208380
  NPD

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1871273789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5254",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445140254",
            "telephone_number": "330-520-2221",
            "fax_number": "330-776-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 TRAILWOOD DR STE 1",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445125037",
            "telephone_number": "330-953-3353",
            "fax_number": "330-953-3356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOARDMAN CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-25",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "BRAATZ",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-953-3353",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Vincent Blihar
• Dallan James Blotter
• Linda L Blum, LSW
• Board Certified Dermatopathology, Inc
• Eulalia Board, LPC
• Boardman Gastroenterology Group, Inc.
• Boardman Skilled Nursing, LLC (Continuing Healthcare of Boardman)
• Boardman Skilled Nursing, LLC
• Darren Boatwright Jr.
• Cody CR Bobbie

• Chiropractor in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.