Individual provider Active NPI

Richard Joseph Bollen, D.C.

  • Chiropractor
  • Saint Helena, CA
National Provider Identifier
1063755114
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
32546 Issued in CA
Practice address
200 Main St
Saint Helena, CA 94574-2165
Phone
(707) 403-5008
NPI assigned
Mar 27, 2013
Last updated
Dec 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 32546 CA Primary

Addresses

Primary practice location

200 Main St
Saint Helena, CA 94574-2165

Mailing address

200 Main St
Saint Helena, CA 94574-2165
Phone (707) 403-5008

Other practice location 1

1227 Lincoln Ave Ste B
Calistoga, CA 94515-1747
Phone (707) 403-5008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cruz Chiropractic PC Chiropractor Past Accepting new patients
Fletcher Chiropractic, Inc Chiropractor PastSince Feb 14, 2018 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1063755114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MAIN ST",
            "city": "SAINT HELENA",
            "state": "CA",
            "postal_code": "945742165",
            "telephone_number": "707-403-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MAIN ST",
            "city": "SAINT HELENA",
            "state": "CA",
            "postal_code": "945742165",
            "telephone_number": "707-403-5008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1227 Lincoln Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Calistoga",
            "state": "CA",
            "postal_code": "945151747",
            "country_code": "US",
            "telephone_number": "707-403-5008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLLEN",
        "first_name": "RICHARD",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-27",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Helena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.