Bagley Family Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3696 Issued in OH

Legal business name

BAGLEY FAMILY CHIROPRACTIC, LLC

Practice address

501 W High St
Hicksville, OH 43526-1083

Phone

(419) 542-8247

Fax

(419) 542-6726

NPI assigned

Jun 18, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Ryan David Bagley, D.C.NPI 1386650141

Title

Member

Phone

(419) 542-8247

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 2

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

• Ryan David Bagley, D.C.

  • Chiropractor
  • Hicksville, OH
  • NPI 1386650141
  Medicare reassignment NPD Authorized official
• Brent Allen Roth, DC

  • Chiropractor
  • Hicksville, OH
  • NPI 1952318230
  NPD (past)

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1114188679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W HIGH ST",
            "city": "HICKSVILLE",
            "state": "OH",
            "postal_code": "435261083",
            "telephone_number": "419-542-8247",
            "fax_number": "419-542-6726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W HIGH ST",
            "city": "HICKSVILLE",
            "state": "OH",
            "postal_code": "435261083",
            "telephone_number": "419-542-8247",
            "fax_number": "419-542-6726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAGLEY FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-18",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "BAGLEY",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "419-542-8247",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2647890",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• A. Hoffman Enterprises
• Ryan David Bagley, D.C.
• Julie K Barth, MA
• Regina Belton
• Michele Yvonne Biller
• Michael Stewart Boggs, DDS

• Chiropractor in Hicksville, OH
• Providers in Hicksville, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; 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.