Lindsay Nicole Bogue, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2023016772 Issued in MO

Practice address

2144 E Republic Rd Ste A104
Springfield, MO 65804-4645

Phone

(417) 887-8075

Fax

(417) 887-8535

NPI assigned

May 26, 2023

Last updated

May 26, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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 MO

Enrollment records 1

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.

• Loehr Chiropractic and Acupuncture, LLC

  • Chiropractor
  • Springfield, MO
  • NPI 1649696121
  Medicare reassignment NPD

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1275226284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 S LINDEN AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658043573",
            "telephone_number": "417-887-8075",
            "fax_number": "417-887-8535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2144 E REPUBLIC RD STE A104",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044645",
            "telephone_number": "417-887-8075",
            "fax_number": "417-887-8535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGUE",
        "first_name": "LINDSAY",
        "middle_name": "NICOLE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2023016772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Aaron Boehm, D.O.
• Tara Lee Boehne, OTR/L
• Gina Marie Bogart, RDN, LD
• Tamara L Boggess, LCSW
• Jessica E. Boggs, ANP-C
• Bradley Bohman, MD
• John Michael Bohon
• Denis Bokov
• Blaik Bolerjack
• Anthony C Bolin II, DC

• Chiropractor in Springfield, MO
• Providers in Springfield, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; 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.