Optimal Performance Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08002600A Issued in IN

Legal business name

OPTIMAL PERFORMANCE CHIROPRACTIC, LLC

Doing business as

Optimal Performance Chiropractic

Practice address

703 N Main St
Huntingburg, IN 47542-1045

Phone

(812) 684-0095

Fax

(812) 684-0096

NPI assigned

Dec 20, 2011

Last updated

Feb 4, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jenna N Gogel, D.C.NPI 1487938312

Title

Owner

Phone

(812) 684-0095

Specialties & licenses 1

Addresses

Other names 1

• Optimal Performance Chiropractic Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jenna N Gogel, D.C.

  • Chiropractor
  • Huntingburg, IN
  • NPI 1487938312
  NPD (past) Authorized official

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

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391472000000",
    "number": "1326317496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 N MAIN ST",
            "city": "HUNTINGBURG",
            "state": "IN",
            "postal_code": "475421045",
            "telephone_number": "812-684-0095",
            "fax_number": "812-684-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 N MAIN ST",
            "city": "HUNTINGBURG",
            "state": "IN",
            "postal_code": "475421045",
            "telephone_number": "812-684-0095",
            "fax_number": "812-684-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL PERFORMANCE CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-20",
        "last_updated": "2014-02-04",
        "status": "A",
        "authorized_official_last_name": "GOGEL",
        "authorized_official_first_name": "JENNA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-684-0095",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002600A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimal Performance Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jessa Nord
• Normal Life of Indiana
• Nicholas Alan Olinger, DMD
• Angela Osborn
• Amy D Osborne
• Christina Oster
• Charles Alexander Perez, DO
• Angela Persohn, FNP-C

• Chiropractor in Huntingburg, IN
• Providers in Huntingburg, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; 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.