Shane M Bogard

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

8025 Issued in TX

Legal business name

SHANE M BOGARD

Practice address

145 N Beaulah
Hawkins, TX 75765

Phone

(903) 769-5545

Fax

(903) 769-5945

NPI assigned

May 13, 2008

Organization subpart

No

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

Authorized official

Name

Nita Cash-Clay

Title

Manager

Phone

(903) 769-5545

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Shane M Bogard

  • Chiropractor
  • Hawkins, TX
  • NPI 1407886930
  NPD (past)

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1285801936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1333",
            "city": "HAWKINS",
            "state": "TX",
            "postal_code": "75765",
            "telephone_number": "903-769-5545",
            "fax_number": "903-769-5945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 N BEAULAH",
            "city": "HAWKINS",
            "state": "TX",
            "postal_code": "75765",
            "telephone_number": "903-769-5545",
            "fax_number": "903-769-5945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANE M BOGARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-13",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "CASH-CLAY",
        "authorized_official_first_name": "NITA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "903-769-5545"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0020778-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Callie Little
• Chasity Lowery
• Leah Kathryn Mosse, LPC
• Patricia Ann Phillips Sr.
• Andrew B Rosson, DDS
• Kelsey Danielle Sheeley, FNP-C
• Heather Marie Sheppard, FNP-C
• Tyler Todd, PT, DPT
• James Irick Tredway, PHARMD
• Margaret Vaughan, RN

• Chiropractor in Hawkins, TX
• Providers in Hawkins, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.