Provider Demographics
NPI:1619020286
Name:BOYKIN, JAMES PATRICK (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:PATRICK
Last Name:BOYKIN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2575 MONTEBELLO DR W STE 102
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-6959
Mailing Address - Country:US
Mailing Address - Phone:719-578-8820
Mailing Address - Fax:719-578-8821
Practice Address - Street 1:2575 MONTEBELLO DR W STE 102
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-6959
Practice Address - Country:US
Practice Address - Phone:719-578-8820
Practice Address - Fax:719-578-8821
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2638111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO454598Medicare ID - Type UnspecifiedGROUP NUMBER
CO454618Medicare ID - Type UnspecifiedINDIVIDUAL NUMBER