NPIMap

Organization Active NPI

Lawyer Chiropractic Clinic Inc

  • Chiropractor
  • Portsmouth, OH
National Provider Identifier
1912955170
Registry record updated Apr 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LAWYER CHIROPRACTIC CLINIC INC
Practice address
1616 Grant St
Portsmouth, OH 45662-3663
Phone
(740) 353-2211
Fax
(740) 353-4373
NPI assigned
May 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2011

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

Authorized official

Name
Dr. Dayna Lynn Bolera, DCNPI 1508847146
Title
Owner/Chiropractor
Phone
(740) 353-2211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1616 Grant St
Portsmouth, OH 45662-3663

Mailing address

PO Box 279
Wheelersburg, OH 45694-0279
Phone (740) 353-2211

Other identifiers 4

IdentifierTypeStateIssuer
5930627OtherOHAETNA
0901242MedicaidOH
000000228032OtherOHANTHEM
CE0510OtherOHRAIL ROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

2220 Scioto Trl
Portsmouth, OH 45662
Phone (740) 353-2211

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303862400000",
    "number": "1912955170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 279",
            "city": "WHEELERSBURG",
            "state": "OH",
            "postal_code": "456940279",
            "telephone_number": "740-353-2211",
            "fax_number": "740-353-4373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 GRANT ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456623663",
            "telephone_number": "740-353-2211",
            "fax_number": "740-353-4373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWYER CHIROPRACTIC CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2011-04-27",
        "status": "A",
        "authorized_official_last_name": "BOLERA",
        "authorized_official_first_name": "DAYNA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "740-353-2211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5930627",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0901242",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000228032",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "CE0510",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; 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.