Active NPI
Caleb Louis Boucher, D.C.
- Chiropractor
- Carmel, IN
National Provider Identifier
1902176241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08002616A
- Practice address
- 2776 E 146TH St
Carmel, IN 46033-7718 - Phone
- (765) 729-0050
- NPI assigned
- Jan 4, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08002616A | IN | Primary |
Addresses
Primary practice location
2776 E 146TH St
Carmel, IN 46033-7718
Mailing address
50 Florence St
Carmel, IN 46032-3307
Phone (765) 729-0050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08002616A | IN | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325635200000",
"number": "1902176241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 FLORENCE ST",
"city": "CARMEL",
"state": "IN",
"postal_code": "460323307",
"telephone_number": "765-729-0050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2776 E 146TH ST",
"city": "CARMEL",
"state": "IN",
"postal_code": "460337718",
"telephone_number": "765-729-0050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOUCHER",
"first_name": "CALEB",
"middle_name": "LOUIS",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-01-04",
"last_updated": "2012-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08002616A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.