Neenah Chiropractic & Rehab Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4143012 Issued in WI

Legal business name

NEENAH CHIROPRACTIC & REHAB INC

Practice address

907 Tullar Rd
Neenah, WI 54956-3617

Phone

(920) 722-9200

Fax

(920) 722-9202

NPI assigned

Oct 16, 2007

Organization subpart

No

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

Authorized official

Name

Eric Bogaart, DCNPI 1003992835

Title

Owner

Phone

(920) 722-9200

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric Kenneth Bogaart, D.C

  • Chiropractor
  • Neenah, WI
  • NPI 1003992835
  Medicare reassignment NPD Authorized official
• Marie-Andree Claudette Gelinas, D.C.

  • Chiropractor
  • Oneida, WI
  • NPI 1124211800
  NPD (past)
• Nicholas Wall, D.C.

  • Chiropractor
  • Eastman, WI
  • NPI 1548530066
  NPD (past)
• Kate E Petersen, D.C.

  • Chiropractor
  • North Charleston, SC
  • NPI 1942518402
  NPD (past)

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515974400000",
    "number": "1073702007",
    "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": {
        "organization_name": "NEENAH CHIROPRACTIC & REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2018-01-15",
        "status": "A",
        "authorized_official_last_name": "BOGAART",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-722-9200",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4143012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38964100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Nagle
• Jackie Nalbach, RPH
• Vicki Lynn Napiwocki, SLP
• Erick J Nason
• Alma Julienne Natural, M.D.
• Neenah Family Chiropractic, LLC
• Neenah Hometown Pharmacy LLC
• Neenah Joint School District
• Neenah Ops, LLC
• Neenah West Chiropractic Inc

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.