Leo R Boisvert, D.C.

Primary specialty

Pediatric ChiropractorTaxonomy code 111NP0017X

License

5052 Issued in KY

Practice address

101 Malabu Dr
Suite #10
Lexington, KY 40503-3141

Phone

(859) 277-7521

Fax

(859) 275-2020

NPI assigned

Jul 17, 2006

Last updated

Aug 27, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Boisvert Enterprises LLC

  dba Today Disc, Bone & Joint Chiropractic Treatment Center

  • Pediatric Chiropractor
  • Lexington, KY
  • NPI 1962753665
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346025600000",
    "number": "1912924655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MALABU DR",
            "address_2": "SUITE #10",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033141",
            "telephone_number": "859-277-7521",
            "fax_number": "859-275-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MALABU DR",
            "address_2": "SUITE #10",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033141",
            "telephone_number": "859-277-7521",
            "fax_number": "859-275-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOISVERT",
        "first_name": "LEO",
        "middle_name": "R",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2012-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "KY",
            "license": "5052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chloe Bohan, MSW
• Erin Nikeshia Bohannon, MSW, RBT
• Kristin Bohannon, PHARM.D.
• Kelly Ryan Bohl, DNP, APRN
• Boisvert Enterprises LLC (Today Disc, Bone & Joint Chiropractic Treatment Center)
• Lauren Gabrielle Bojarski, DO
• Adrienne Boland, LPCA
• Michael Robert Boland, MD
• Ileana Boldo
• William G. Boliek, M.D.

• Pediatric Chiropractor in Lexington, KY
• Providers in Lexington, KY by specialty
• Pediatric Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; 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.