Eric Kenneth Bogaart, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4143-012 Issued in WI

Practice address

907 Tullar Rd
Neenah, WI 54956-3617

Phone

(920) 722-9200

Fax

(920) 722-9202

NPI assigned

Oct 27, 2006

Last updated

Jan 15, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• IL PPO Downstate
• IL HMO C-SNP
• devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Neenah Chiropractic & Rehab Inc

  • Chiropractor
  • Neenah, WI
  • NPI 1073702007
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515974400000",
    "number": "1003992835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 TULLAR RD",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549563617",
            "telephone_number": "920-722-9200",
            "fax_number": "920-722-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 TULLAR RD",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549563617",
            "telephone_number": "920-722-9200",
            "fax_number": "920-722-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGAART",
        "first_name": "ERIC",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2018-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4143-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38964100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Randall L Blohowiak, DC
• Joshua R Blomberg, M.D.
• Kurt Bloomhuff, MD
• Lauren Boeckman, PT, DPT
• Kasey Ann Boerner, APRN
• Adrienne K Bohn, PA-C
• Elizabeth Bonson, PT
• Sanjana Boosa Manmohan
• Jerome E Bormes, MD
• Matthew Bougie

• Chiropractor in Neenah, WI
• Providers in Neenah, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2018; 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.