Desiree Marceline Van Bogart, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5197 Issued in MN

Practice address

530 W Main St
Suite 10
Anoka, MN 55303-2063

Phone

(612) 968-3385

NPI assigned

Apr 29, 2009

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 MN

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 and National Provider Directory roles.

• Desired Health Chiropractic, LLC

  • Clinic/Center
  • Anoka, MN
  • NPI 1467696120
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240963200000",
    "number": "1457595886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 W. MAIN STREET",
            "address_2": "SUITE 10",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "55303",
            "telephone_number": "612-968-3385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 W MAIN ST",
            "address_2": "SUITE 10",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553032063",
            "telephone_number": "612-968-3385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN BOGART",
        "first_name": "DESIREE",
        "middle_name": "MARCELINE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-29",
        "last_updated": "2009-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Andrina Ueland
• Joan Elizabeth Ulwelling, RN APN
• Unison Chiropractic Center PLLC
• Universal Construction Supply Co LLC
• Tatiana Valenziano, OTR/L
• Bao Vang
• Elizabeth Vang, RPH
• Maiyee Vang
• VA Vang, PHARMD
• Megan Marie Vasko, DDS

• Chiropractor in Anoka, MN
• Providers in Anoka, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2009; 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.