Jerry D Fogel, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

482 Issued in SD

Practice address

422 Whittecar Ave
Gregory, SD 57533-1341

Phone

(605) 835-8701

Fax

(605) 835-9124

NPI assigned

Jan 26, 2006

Last updated

Jul 29, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1966

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fogel Clinics, LLCGroup PAC ID 2365610037, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Fogel Clinics, LLC

  • Chiropractor
  • Gregory, SD
  • NPI 1801180195
  Medicare reassignment Care Compare group NPD
• Fogel Clinic

  • Chiropractor
  • Gregory, SD
  • NPI 1104896646
  NPD (past)

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280361600000",
    "number": "1194795625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 WHITTECAR AVE",
            "city": "GREGORY",
            "state": "SD",
            "postal_code": "575331341",
            "telephone_number": "605-835-8701",
            "fax_number": "605-835-9124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 WHITTECAR AVE",
            "city": "GREGORY",
            "state": "SD",
            "postal_code": "575331341",
            "telephone_number": "605-835-8701",
            "fax_number": "605-835-9124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOGEL",
        "first_name": "JERRY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2010-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa A Even, M.D.
• Daniel Scott Fiebelkorn, PHARMD
• Fogel Clinic
• Fogel Clinics, LLC
• David E Fogel, DC
• Gregory Assisted Living
• Gregory Drug
• Gregory Drug, Inc
• Gregory Drug, Inc (Gregory Drug)
• Gregory Drug, Inc (Gregory Drug)

• Chiropractor in Gregory, SD
• Providers in Gregory, SD by specialty
• Chiropractor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2010; 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.