Kenneth Frank Boscher, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR005124 Issued in GA

Practice address

2365 Wall St SE Ste 120
Conyers, GA 30013-2197

Phone

(770) 922-8187

Fax

(770) 922-9107

NPI assigned

Dec 19, 2006

Last updated

Jun 2, 2023By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Boscher Enterprises Inc

  dba Conyers Family Chiropractic Center

  • Chiropractor
  • Conyers, GA
  • NPI 1194100370
  Medicare reassignment NPD Authorized official
• Proactive Healthcare Solutions, LLC

  • Clinic/Center
  • Conyers, GA
  • NPI 1780958835
  NPD (past)

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1558425348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2365 WALL ST SE",
            "address_2": "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 SE STE 120",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300132197",
            "telephone_number": "770-922-8187",
            "fax_number": "770-922-9107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSCHER",
        "first_name": "KENNETH",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR005124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1194100370",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Bolton
• Bonhomie, L.L.C.
• Talitha Bonner, CRNA
• Sireze Booker
• Boscher Enterprises Inc (Conyers Family Chiropractic Center)
• Rebekah Currin Boscher, CNMT
• Melinda Victoria Bottenfield, DO
• John O'Neal Bowden, M.D.
• Robert L Bowers, D.O., PH.D.
• Alexia Boyd

• Chiropractor in Conyers, GA
• Providers in Conyers, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; 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.