Individual provider Active NPI

Aaron Patrick Boehmer, D.C.

  • Chiropractor
  • Columbia, MO
National Provider Identifier
1669523148
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2004023374 Issued in MO
Practice address
1608 Chapel Hill Rd Ste D
Columbia, MO 65203-5464
Phone
(573) 445-4000
Fax
(573) 447-3336
NPI assigned
Jan 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2004023374 MO Primary

Addresses

Primary practice location

1608 Chapel Hill Rd Ste D
Columbia, MO 65203-5464

Mailing address

1608 Chapel Hill Rd Ste D
Columbia, MO 65203-5464
Phone (573) 445-4000

Other identifiers 3

IdentifierTypeStateIssuer
269996OtherMOGHP
193118OtherMOBLUE CROSS BLUE SHIELD
681394OtherMOHEALTH LINK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050112000058 MO Practitioner - Chiropractic 4284682600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Boehmer Chiropractic and Acupuncture PCGroup PAC ID 5395752513, 2 clinicians

Practice addresses (Care Compare)

2216 Forum Blvd
Columbia, MO 65203-5409
Phone (573) 445-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2004023374MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Boehmer Chiropractic and Acupuncture PC Chiropractor CurrentSince Oct 4, 2004 Accepting new patients

Locations

1608 Chapel Hill Rd
Ste D
Columbia, MO 65203
Phone (573) 445-4000

2216 Forum Blvd
Ste 102
Columbia, MO 65203
Phone (573) 445-4000

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": "1168646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669523148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 CHAPEL HILL RD STE D",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652035464",
            "telephone_number": "573-445-4000",
            "fax_number": "573-447-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 CHAPEL HILL RD STE D",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652035464",
            "telephone_number": "573-445-4000",
            "fax_number": "573-447-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOEHMER",
        "first_name": "AARON",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2004023374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHP",
            "identifier": "269996",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "193118",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH LINK",
            "identifier": "681394",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.