Organization Active NPI

Boehmer Chiropractic and Acupuncture PC

  • Chiropractor
  • Columbia, MO
National Provider Identifier
1881875334
Registry record updated Jul 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2005003663 Issued in MO
Legal business name
BOEHMER CHIROPRACTIC AND ACUPUNCTURE PC
Practice address
2216 Forum Blvd
Suite 102
Columbia, MO 65203-5464
Phone
(573) 445-4000
Fax
(573) 447-3336
NPI assigned
Nov 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2013

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

Authorized official

Name
Dr. Alicyn Marie Boehmer, DCNPI 1851442339
Title
Owner
Phone
(573) 445-4000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2005003663 MO Primary

Addresses

Primary practice location

2216 Forum Blvd
Suite 102
Columbia, MO 65203-5464

Mailing address

2216 Forum Blvd
Suite 102
Columbia, MO 65203-5403
Phone (573) 445-4000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060314000167 MO Part B Supplier - Clinic/Group Practice 5395752513 Receives reassigned benefits from 2 practitioners
Practice locations: Columbia, MO

National Provider Directory

National Provider Directory

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373328000000",
    "number": "1881875334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 FORUM BLVD",
            "address_2": "SUITE 102",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652035403",
            "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": "2216 FORUM BLVD",
            "address_2": "SUITE 102",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652035464",
            "telephone_number": "573-445-4000",
            "fax_number": "573-447-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOEHMER CHIROPRACTIC AND ACUPUNCTURE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2013-07-09",
        "status": "A",
        "authorized_official_last_name": "BOEHMER",
        "authorized_official_first_name": "ALICYN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-445-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2005003663",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.