Individual provider Active NPI

Thomas Paul Boeck, D.C.

  • Chiropractor
  • New Bern, NC
National Provider Identifier
1669450409
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2434 Issued in NC
Practice address
2602 Neuse Blvd
New Bern, NC 28562-2846
Phone
(252) 634-3111
Fax
(252) 634-3040
NPI assigned
Jan 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2434 NC Primary

Addresses

Primary practice location

2602 Neuse Blvd
New Bern, NC 28562-2846

Mailing address

2602 Neuse Blvd
New Bern, NC 28562-2846
Phone (252) 634-3111

Other identifiers 1

IdentifierTypeStateIssuer
8908931NMedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101021001386 NC Practitioner - Chiropractic 1557554599 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2602 Neuse Blvd
New Bern, NC 28562-2846
Phone (252) 634-3111

Merit-based Incentive Payment System (MIPS)

Final score
92.39 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
74.62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2434NCMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Boeck Chiropractic Clinic, PA Chiropractor CurrentSince Oct 6, 2003 Accepting new patients

Locations

1910 S Glenburnie Rd
New Bern, NC 28562
Phone (252) 634-3111

1910 S Glenburnie Rd
Ste A
New Bern, NC 28562
Phone (252) 634-3111

2602 Neuse Blvd
New Bern, NC 28562
Phone (252) 634-3111

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1669450409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2602 NEUSE BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622846",
            "telephone_number": "252-634-3111",
            "fax_number": "252-634-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 NEUSE BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622846",
            "telephone_number": "252-634-3111",
            "fax_number": "252-634-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOECK",
        "first_name": "THOMAS",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8908931N",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.