Organization Active NPI

Karl C Boone DC Inc

  • Chiropractor
  • Buckhannon, WV
National Provider Identifier
1992837728
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
WV332 Issued in WV
Legal business name
KARL C BOONE DC INC
Practice address
121 S Kanawha St
Buckhannon, WV 26201
Phone
(304) 472-7161
Fax
(304) 472-2294
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Karl Clayton Boone, DC
Title
President
Phone
(304) 472-7161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X WV332 WV Primary

Addresses

Primary practice location

121 S Kanawha St
Buckhannon, WV 26201

Mailing address

121 S Kanawha St
Buckhannon, WV 26201
Phone (304) 472-7161

Other identifiers 1

IdentifierTypeStateIssuer
1069589OtherWVWORKERS COMP

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992837728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S KANAWHA ST",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "26201",
            "telephone_number": "304-472-7161",
            "fax_number": "304-472-2294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S KANAWHA ST",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "26201",
            "telephone_number": "304-472-7161",
            "fax_number": "304-472-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARL C BOONE DC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOONE",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "CLAYTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-472-7161",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "WV332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMP",
            "identifier": "1069589",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buckhannon, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.