NPIMap

Organization Active NPI

Boscher Enterprises Inc

  • Chiropractor
  • Conyers, GA
National Provider Identifier
1194100370
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BOSCHER ENTERPRISES INC
Practice address
2365 Wall St. Suite 120
Conyers, GA 30013-2197
Phone
(770) 922-8187
Fax
(770) 922-9107
NPI assigned
Jul 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Authorized official

Name
Mr. Kenneth Frank Boscher, DCNPI 1558425348
Title
Dr
Phone
(770) 922-8187

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2365 Wall St. Suite 120
Conyers, GA 30013-2197

Mailing address

2365 Wall St. Suite 120
Conyers, GA 30013-2197
Phone (770) 922-8187

Other names 1

  • Conyers Family Chiropractic Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160708000438 GA Part B Supplier - Clinic/Group Practice 9739471921 Receives reassigned benefits from 1 practitioner
Practice locations: Conyers, GA

National Provider Directory

National Provider Directory

Locations

2365 Wall St SE
Ste 100
Conyers, GA 30013
Phone (678) 602-2569

2365 Wall St SE
Ste 120
Conyers, GA 30013
Phone (770) 922-8187

Practitioners & affiliated clinicians

Practitioners 5

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": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693872000000",
    "number": "1194100370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2365 WALL ST. SUITE 120",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300132197",
            "telephone_number": "770-922-8187",
            "fax_number": "770-922-9107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2365 WALL ST. SUITE 120",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300132197",
            "telephone_number": "770-922-8187",
            "fax_number": "770-922-9107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSCHER ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-29",
        "last_updated": "2023-09-05",
        "status": "A",
        "authorized_official_last_name": "BOSCHER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "770-922-8187",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Conyers Family Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Conyers Family Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.