Organization Active NPI

Bosley Chiropractic

  • Chiropractor
  • Rancho Cucamonga, CA
National Provider Identifier
1477717049
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-30293 Issued in CA
Legal business name
BOSLEY CHIROPRACTIC
Practice address
11843 Sebastian Way
Suite 101
Rancho Cucamonga, CA 91730
Phone
(909) 477-4545
Fax
(909) 477-4588
NPI assigned
Jul 14, 2008
Last updated
Jul 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Authorized official

Name
Dr. Michael Bosley
Title
Owner/Director
Phone
(909) 477-4545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-30293 CA Primary

Addresses

Primary practice location

11843 Sebastian Way
Suite 101
Rancho Cucamonga, CA 91730

Mailing address

11843 Sebastian Way
Suite 101
Rancho Cucamonga, CA 91730
Phone (909) 477-4545

National Provider Directory

National Provider Directory

Locations

11843 Sebastian Way
Ste 101
Rancho Cucamonga, CA 91730
Phone (909) 654-6731

NPI Registry JSON

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1477717049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11843 SEBASTIAN WAY",
            "address_2": "SUITE 101",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "91730",
            "telephone_number": "909-477-4545",
            "fax_number": "909-477-4588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11843 SEBASTIAN WAY",
            "address_2": "SUITE 101",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "91730",
            "telephone_number": "909-477-4545",
            "fax_number": "909-477-4588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSLEY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-14",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "BOSLEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "909-477-4545",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-30293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.