DR. CHARLES RICHARD BOLEY II (NPI# 1114958857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114958857 |
| Entity Type | Individual |
| Full Name | DR. CHARLES RICHARD BOLEY II |
| Credential | D.C. |
| Practice Address |
1895 E Roseville Pkwy Suite 170 Roseville CA 95661-7976 |
| Practice Telephone | 9167713999 |
| Practice Fax Number | 9167976282 |
| Mailing Telephone | 9167713999 |
| Mailing Fax Number | 9167976282 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC28039 | CA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912126640 | Charles K. Boley | Internal Medicine | 10 Saint Clare Ct Ste 100, Washington, IL 61571-9239 | 2007-04-24 |
| Street Address |
1895 E ROSEVILLE PKWY SUITE 170 |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95661-7976 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508831934 | Karen Etta Jakobovits | Psychologist | 1895 E Roseville Pkwy, Suite 190, Roseville, CA 95661-7976 | 2006-02-20 |
| 1437565199 | Gurkamal Kaur Sandhu | Dentist | 1895 E Roseville Pkwy, Suite 100, Roseville, CA 95661-7976 | 2014-07-02 |
| 1588960074 | Joshua Aaron Bray | Chiropractor | 1895 E Roseville Pkwy, Suite 170, Roseville, CA 95661-7976 | 2011-02-01 |
| 1629213897 | Angela Marie Chanter | Psychologist | 1895 E Roseville Pkwy, Suite 190, Roseville, CA 95661-7976 | 2008-12-02 |
| 1881884450 | David M. Dunning | Marriage & Family Therapist | 1895 E Roseville Pkwy, Roseville, CA 95661-7976 | 2007-07-30 |
| 1417068743 | Debra Louise Baker | Dentist | 1895 E Roseville Pkwy, Suite 180, Roseville, CA 95661-7976 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
| 1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
| 1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
| 1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
| 1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
| 1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
| 1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
| 1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
| 1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
| 1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
| Find all providers in zip 95661 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639718547 | Alex Anders- Cook D.c., A Life Clinic Corporation | Chiropractor | 1435 E Roseville Pkwy, Roseville, CA 95661-3066 | 2019-12-26 |
| 1104469204 | Zachary Thomas Owens | Chiropractor | 201 Harding Blvd Ste J, Roseville, CA 95678-2814 | 2019-10-21 |
| 1649743220 | Platinum Health Regenerative Solutions, Pa | Chiropractor | 2780 Snelling Ave N Ste 202, Roseville, MN 55113-7126 | 2019-01-07 |
| 1841771730 | Sarah Renee Ward | Chiropractor | 1098 Melody Ln Ste 102, Roseville, CA 95678-5138 | 2018-08-28 |
| 1578042206 | Senyi Ly | Chiropractor | 2345 Rice St Ste 155, Roseville, MN 55113-3720 | 2018-08-13 |
| 1588150049 | Out and About Chiropractic Pllc | Chiropractor | 1484 Clarmar Ave W, Roseville, MN 55113-1608 | 2018-07-09 |
| 1497258388 | Hannah Elizabeth Flammang Wong | Chiropractor | 2235 Douglas Blvd Ste 520, Roseville, CA 95661-4266 | 2018-03-16 |
| 1518331065 | Zawada Chiropractic Inc | Chiropractor | 1441 Secret Ravine Pkwy Ste 140, Roseville, CA 95661-6044 | 2015-11-20 |
| 1811327182 | Chris King | Chiropractor | 2101 Lemontree Way, Roseville, CA 95747-8865 | 2013-11-22 |
| 1851665863 | Anupam Arman | Chiropractor | 1137 Smith Ln, 8, Roseville, CA 95661-4103 | 2012-03-08 |
| Find all providers in ROSEVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.