Desired Health Chiropractic, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

3290217-2 Issued in MN

Legal business name

DESIRED HEALTH CHIROPRACTIC, LLC

Practice address

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

Phone

(612) 968-3385

NPI assigned

Apr 26, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Desiree Marceline Van Bogart, D.C.NPI 1457595886

Title

Chiropractor

Phone

(612) 968-3385

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

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

• Desiree Marceline Van Bogart, D.C.

  • Chiropractor
  • Anoka, MN
  • NPI 1457595886
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1240704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240704000000",
    "number": "1467696120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": {
        "organization_name": "DESIRED HEALTH CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-26",
        "last_updated": "2009-04-26",
        "status": "A",
        "authorized_official_last_name": "VAN BOGART",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_middle_name": "MARCELINE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "612-968-3385",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MN",
            "license": "3290217-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Marie Davis, PHARMD
• Elizabeth Deans
• Caroline Anne Dekrey, M.A., CCC-SLP
• Abigail Demars
• Jeremy Derheim, MA OTR/L
• Madeline Nicole Detra
• Jamilatou Jiwo Diallo-Evans
• Bouba Diallo
• Sara Dick
• Erin Nicole Diedrich, OTR

• Clinic/Center in Anoka, MN
• Providers in Anoka, MN by specialty
• Clinic/Center in Minnesota

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