Judith W Boothby, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

272207 Issued in OR

Practice address

1620 SE Ankeny St
Portland, OR 97214-1448

Phone

(503) 233-0943

Fax

(503) 233-0943

NPI assigned

May 7, 2007

Last updated

May 13, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Judith Boothby Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Judith Boothby Ms DC PC

  • Chiropractor
  • Portland, OR
  • NPI 1053629147
  Authorized official Same address or phone

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273708800000",
    "number": "1942412283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 SE ANKENY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972141448",
            "telephone_number": "503-233-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 SE ANKENY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972141448",
            "telephone_number": "503-233-0943",
            "fax_number": "503-233-0943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOTHBY",
        "first_name": "JUDITH",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2010-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "272207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDITH",
            "last_name": "BOOTHBY",
            "credential": "MS DC PC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Alison Dell Booth, RDH
• Jennifer Susan Booth, MSW
• Samuel Kimball Booth, DO
• Sarah Elizabeth Booth, MSW
• Christopher Robert Boothby, LPC
• Joshua Booton
• Sarah Celindia Booze
• Namrita Boparai
• Rebecca Boraz
• Kacy Leann Borba Spann, N.D., LAC

• Chiropractor in Portland, OR
• Providers in Portland, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2010; 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.