Individual provider Active NPI

Gregory D Hoogeveen, D.C.

  • Sports Physician Chiropractor
  • Bellevue, NE
National Provider Identifier
1114942406
Registry record updated Mar 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
1215 Issued in NE
Practice address
1301 Fort Crook Rd S
Bellevue, NE 68005-2940
Phone
(402) 291-2580
Fax
(402) 293-6436
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 1215 NE Primary

Addresses

Primary practice location

1301 Fort Crook Rd S
Bellevue, NE 68005-2940

Mailing address

1301 Fort Crook Rd S
Bellevue, NE 68005-2940
Phone (402) 291-2580

Other identifiers 1

IdentifierTypeStateIssuer
42123210000MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100628000537 NE Practitioner - Chiropractic 2567593072 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Bellevue, NE

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hoogeveen Chiropractic Wellness Center PCGroup PAC ID 6800117672, 6 clinicians

Practice addresses (Care Compare)

1301 Fort Crook Rd S
Bellevue, NE 68005-2940
Phone (402) 291-2580

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1215NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hoogeveen Chiropractic Wellness Center, P.C. CurrentSince Jul 1, 2015 Accepting new patients

Locations

1301 Fort Crook Rd S
Bellevue, NE 68005
Phone (402) 291-2580

Practitioners & affiliated clinicians

Practitioners 1

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

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393977600000",
    "number": "1114942406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 FORT CROOK RD S",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680052940",
            "telephone_number": "402-291-2580",
            "fax_number": "402-293-6436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 FORT CROOK RD S",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680052940",
            "telephone_number": "402-291-2580",
            "fax_number": "402-293-6436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOGEVEEN",
        "first_name": "GREGORY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2014-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NE",
            "license": "1215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42123210000",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2014; 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.