John Salvatore Boccella, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2196 Issued in NC

Practice address

10931 Strickland Rd
Suite 131
Raleigh, NC 27615-2085

Phone

(919) 518-1234

Fax

(919) 518-0878

NPI assigned

Aug 3, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Atlas Chiropractic and Wellness Center, PA

  • Chiropractor
  • Raleigh, NC
  • NPI 1467521203
  Medicare reassignment NPD Authorized official
• Garner Health Upper Cervical Chiropractic, PLLC

  dba Atlas Chiropractic of Raleigh

  • Chiropractor
  • Raleigh, NC
  • NPI 1134922974
  NPD

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419292800000",
    "number": "1063413771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10931 STRICKLAND RD",
            "address_2": "SUITE 131",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152085",
            "telephone_number": "919-518-1234",
            "fax_number": "919-518-0878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10931 STRICKLAND RD",
            "address_2": "SUITE 131",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152085",
            "telephone_number": "919-518-1234",
            "fax_number": "919-518-0878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCCELLA",
        "first_name": "JOHN",
        "middle_name": "SALVATORE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2014-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "0829C",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890829C",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5754696",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350045059",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Aleksandra Bockowski, PMHNP-BC
• Lkenya Boddie
• Sarah May Bode
• Thomas Robert Bodenstine, M.D.
• Brady Jordan Bodine, DC

• Chiropractor in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.