Charles Richard Boley II, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC28039 Issued in CA

Practice address

1895 E Roseville Pkwy
Suite 170
Roseville, CA 95661-7976

Phone

(916) 771-3999

Fax

(916) 797-6282

NPI assigned

Jul 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114958857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1895 E ROSEVILLE PKWY",
            "address_2": "SUITE 170",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956617976",
            "telephone_number": "916-771-3999",
            "fax_number": "916-797-6282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1895 E ROSEVILLE PKWY",
            "address_2": "SUITE 170",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956617976",
            "telephone_number": "916-771-3999",
            "fax_number": "916-797-6282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLEY",
        "first_name": "CHARLES",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Oguta Bogonko
• Naomi Kerubo Bogonko, RN
• William J Bohan, DMD
• Lisa Bohrer, MS
• Ornella Bokoch
• John C Bolf, PHD
• William James Bollinger III, D.C.
• Jenny Joan Bonacci, RN, CNS, CPNP
• James Edward Bone, RADT-1
• Victor Orlando Bonilla, MD, FACC

• Chiropractor in Roseville, CA
• Providers in Roseville, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.