Individual provider Active NPI

Candice Capstick Boyer, D.O.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Christiana, PA
National Provider Identifier
1942491931
Registry record updated Mar 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
OS013565 Issued in PA
Practice address
162 Upper Valley Rd
Christiana, PA 17509-9771
Phone
(609) 504-2534
Fax
(609) 228-2872
NPI assigned
Aug 6, 2007
Last updated
Mar 20, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 25MB08351900 NJ
Neuromusculoskeletal Medicine & OMM Physician 204D00000X OS013565 PA Primary
Internal Medicine Physician 207R00000X 25MB08351900 NJ

Addresses

Primary practice location

162 Upper Valley Rd
Christiana, PA 17509-9771

Mailing address

162 Upper Valley Rd
Christiana, PA 17509-9771
Phone (609) 504-2534

Other names 1

  • Candice Elizabeth Boyer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 16, 2018 through Apr 16, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB08351900NJMDNeuromusculoskeletal Medicine & OMM Physician

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332201600000",
    "number": "1942491931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 UPPER VALLEY RD",
            "city": "CHRISTIANA",
            "state": "PA",
            "postal_code": "175099771",
            "telephone_number": "609-504-2534",
            "fax_number": "609-228-2872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 UPPER VALLEY RD",
            "city": "CHRISTIANA",
            "state": "PA",
            "postal_code": "175099771",
            "telephone_number": "609-504-2534",
            "fax_number": "609-228-2872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYER",
        "first_name": "CANDICE",
        "middle_name": "CAPSTICK",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-06",
        "last_updated": "2012-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NJ",
            "license": "25MB08351900",
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "PA",
            "license": "OS013565",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB08351900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CANDICE",
            "last_name": "BOYER",
            "middle_name": "ELIZABETH",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Christiana, PA

Sources for this page

Verify at the official NPI Registry.