Kelly Alexander Boshman, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

13945 Issued in CA

Practice address

32221 Camino Capistrano
Suite B106
San Juan Capistrano, CA 92675-3721

Phone

(949) 493-4141

NPI assigned

Oct 19, 2006

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

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1979

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306195200000",
    "number": "1891877155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32221 CAMINO CAPISTRANO",
            "address_2": "SUITE B106",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753721",
            "telephone_number": "949-493-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32221 CAMINO CAPISTRANO",
            "address_2": "SUITE B106",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753721",
            "telephone_number": "949-493-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSHMAN",
        "first_name": "KELLY",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2011-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "13945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Blakely, PA-C
• Lisa K Bland, MA, CCC-SLP
• Bridget Blaser
• Elizabeth A Bolsinger, M.A., MFT
• Sarah Bordelon
• Lauren Elizabeth Bouwman, M.S., CCC-SLP
• Anthony Thomas Braig, PT
• Stacy L Brand
• Arthur John Brandenburg
• Melissa Jean Braun, OTD

• Chiropractor in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; 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.