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

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

Other identifiers 1

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 and National Provider Directory roles.

• Boisvert Enterprises LLC

  • 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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017382990001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chloe Bohan, MSW
• Erin Nikeshia Bohannon, MSW, RBT
• Kristin Bohannon, PHARM.D.
• Kelly Ryan Bohl, DNP, APRN
• Boisvert Enterprises LLC
• 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.