Charles Richard Boehly, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X009295 Issued in NY

Practice address

779 University Ave
Rochester, NY 14607-1226

Phone

(585) 271-5590

Fax

(585) 271-5593

NPI assigned

Apr 20, 2006

Last updated

Oct 13, 2023By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Enrolled in NY

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.

• Boehly Chiropractic, PLLC

  dba Elevate Chiropractic

  • Chiropractor
  • Rochester, NY
  • NPI 1467675207
  Medicare reassignment NPD Authorized official
• Boehly Chiropractic, PLLC

  dba Elevate Chiropractic

  • Chiropractor
  • Rochester, NY
  • NPI 1215151832
  NPD Authorized official
• Boehly Chiropractic NC

  • Chiropractor
  • Huntersville, NC
  • NPI 1336920404
  NPD Authorized official

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1366407470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "779 UNIVERSITY AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146071226",
            "telephone_number": "585-271-5590",
            "fax_number": "585-271-5593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "779 UNIVERSITY AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146071226",
            "telephone_number": "585-271-5590",
            "fax_number": "585-271-5593"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10011 Gladwick Ct",
            "address_purpose": "LOCATION",
            "city": "Huntersville",
            "state": "NC",
            "postal_code": "28078",
            "country_code": "US",
            "telephone_number": "585-233-1942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOEHLY",
        "first_name": "CHARLES",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS BCBS",
            "identifier": "P0100009295",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann I Bodyk, LCSW-R
• Bodymind Float Center LLC
• Casandra Boehlke
• Boehly Chiropractic, PLLC (Elevate Chiropractic)
• Boehly Chiropractic, PLLC (Elevate Chiropractic)
• Jennifer Marie Boehly, A.N.P
• Willard Charles Boehm, D.D.S.
• Jamie Michelle Boerman, PA-C
• Jayne Boessmann, RPA-C
• Hannah Claire Boettcher, PA-C

• Chiropractor in Rochester, NY
• Providers in Rochester, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.