DR. CHARLES RICHARD BOEHLY D.C.
NPI 1366407470
Chiropractor in Rochester, NY

Q: What is Charles Boehly's NPI number?

The NPI number for Charles Boehly is 1366407470. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Q: What is Charles Boehly's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Charles Boehly was last updated on October 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 20, 2006

779 UNIVERSITY AVE, ROCHESTER, NY 14607(585) 271-5590(585) 271-5593 Get Directions Write a Review

NPPES record last updated: October 13, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 13, 2023, Dec 26, 2015 (2 updates tracked since 2015).

On this page

About Dr. Charles Richard Boehly D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHARLES RICHARD BOEHLY D.C. (NPI 1366407470) is an individual chiropractor in Rochester, New York, licensed in New York (X009295) and active in the NPI registry since April 2006. He maintains a secondary practice location in Huntersville.

NPPES Registry Identity

NPI1366407470

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. CHARLES RICHARD BOEHLYCredential: D.C.

Location Address779 UNIVERSITY AVERochester, NY 14607-1226

Mailing Address779 University AveRochester, NY 14607-1226 · (585) 271-5590 · Fax (585) 271-5593

Phone(585) 271-5590

Fax(585) 271-5593

Sole ProprietorNo

Enumeration DateApril 20, 2006

Last NPPES UpdateOctober 13, 20232 updates tracked since enumeration

NPPES CertifiedOctober 13, 2023

✔ NPI 1366407470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in NY · X009295

Definition

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.

779 UNIVERSITY AVE, Rochester, NY 14607

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Secondary Practice Location 1

Location 110011 Gladwick CtHuntersville, NC 28078 · Phone (585) 233-1942

Other Identifiers 1

OtherP0100009295NY · Excellus Bcbs

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Charles Richard Boehly D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Charles Boehly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Boehly Chiropractic, PLLC

Same address

Chiropractor

779 UNIVERSITY AVE
Rochester, NY 14607

Reassigned Medicare billing, New York enrollment
2 clinicians in this Medicare group

NPI 1467675207 (585) 271-5590

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BOEHLY CHIROPRACTIC, PLLC

Chiropractor

779 UNIVERSITY AVE
ROCHESTER, NY 14607

Monroe County (585) 271-5590

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Boehly's NPI number?

The NPI number for Charles Boehly is 1366407470. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Where is Charles Boehly located?

Charles Boehly practices at 779 University Ave, Rochester, NY 14607. The listed phone number is (585) 271-5590.

What is Charles Boehly's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Charles Boehly enrolled in Medicare?

Yes. Charles Boehly is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Charles Boehly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Boehly reassigns Medicare benefits to Boehly Chiropractic, PLLC (Rochester, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charles Boehly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Charles Boehly was last updated on October 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.