DR. CHARLES RICHARD II BOLEY (D.C.) – Chiropractor, NPI 1114958857

DR. CHARLES RICHARD II BOLEY (D.C.) is a healthcare provider. based in Roseville, California. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. DC28039 (CA). The NPI Number for DR. CHARLES RICHARD II BOLEY (D.C.) is 1114958857

Main info

Male
Sole Proprietor
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHARLES RICHARD II BOLEY (D.C.)
NPI
1114958857
Phone
(916) 771-3999
Address
1895 E ROSEVILLE PKWY
Enumeration Date
5 July 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9167713999
Graduation Year
2001 (25 years ago)
PAC ID
5799723656
Professional Enrollment ID
I20050420001322
Address ID
CA956617974RO1891XPKWY400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,358 CHIROPRACTIC in CA

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Provider Addresses for DR. CHARLES RICHARD II BOLEY (D.C.)

  • GKS Family Dentistry, 1895, East Roseville Parkway, Roseville, Placer County, California, 95661, United States

    SUITE 170

    ROSEVILLE, CA 956617976

    Phone: (916) 771-3999

    Fax: (916) 797-6282

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-04-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050420001322IChiropracticCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
98940Chiropractic manipulative treatment, 1-2 spinal regions35735$0
View full utilization report →

Insurance plans in this area (ZIP 95661)

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Reviews

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Frequently asked questions

Does DR. CHARLES RICHARD II BOLEY (D.C.) have a public NPI I can cite?
Public records show DR. CHARLES RICHARD II BOLEY (D.C.) under NPI 1114958857.
Is DR. CHARLES RICHARD II BOLEY (D.C.) currently accepting referrals based on NPI status?
Registry metadata lists DR. CHARLES RICHARD II BOLEY (D.C.) as active.
Which specialty label fits DR. CHARLES RICHARD II BOLEY (D.C.)?
NPPES ties DR. CHARLES RICHARD II BOLEY (D.C.) to Chiropractor in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is DR. CHARLES RICHARD II BOLEY (D.C.) tied to Roseville, California?
If you are local to Roseville, California, DR. CHARLES RICHARD II BOLEY (D.C.) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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