Kathy J Bosch, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC012363 Issued in CA

Practice address

19515 Village Dr
Ste B
Sonora, CA 95370-9270

Phone

(209) 533-4330

Fax

(209) 532-5374

NPI assigned

Oct 31, 2006

Last updated

Feb 21, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Kathy Bosch Chiropractic, Inc

  • Clinic/Center
  • Sonora, CA
  • NPI 1063782183
  Authorized official Same address or phone

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1508942657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19595 VILLAGE DR",
            "address_2": "STE B",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "95370",
            "telephone_number": "209-533-4330",
            "fax_number": "209-532-5374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19515 VILLAGE DR",
            "address_2": "STE B",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953709270",
            "telephone_number": "209-533-4330",
            "fax_number": "209-532-5374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSCH",
        "first_name": "KATHY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC012363",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC12363",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Michelle Bond, LICENSED MARRIAGE FA
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• Kevin Charles Booth, M.D.
• Lisa Marie Borba
• Brianna Borgen, RD
• Slim Bouchoucha, D.D.S.,M.S.
• William Stuart Bowie, M.D.
• James Ivy Boyd III, MD
• Suzanne Lee Boynton, D.D.S.
• Chrystal Anastasia Lucretia Bradley, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.