Individual provider Active NPI

Deborah NN Bigogno, D.C.

  • Chiropractor
  • Overland Park, KS
National Provider Identifier
1073755229
Registry record updated Sep 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4326 Issued in KS
Practice address
11791 W 112TH St
Ste 103
Overland Park, KS 66210-2725
Phone
(913) 345-9111
Fax
(913) 345-9111
NPI assigned
Apr 2, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4326 KS Primary

Addresses

Primary practice location

11791 W 112TH St
Ste 103
Overland Park, KS 66210-2725

Mailing address

11791 W 112TH St
Ste 103
Overland Park, KS 66210-2737
Phone (913) 345-9111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4326KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Inner Wisdom Healing Center Chiropractor PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1238630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411516800000",
    "number": "1073755229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11791 W 112TH ST",
            "address_2": "STE 103",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102737",
            "telephone_number": "913-345-9111",
            "fax_number": "913-345-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11791 W 112TH ST",
            "address_2": "STE 103",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102725",
            "telephone_number": "913-345-9111",
            "fax_number": "913-345-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIGOGNO",
        "first_name": "DEBORAH",
        "middle_name": "NN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-02",
        "last_updated": "2014-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "4326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.