Ty Ogata, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA920 Issued in ID

Practice address

12353 W McMillan Rd
Boise, ID 83713-5052

Phone

(208) 938-3334

Fax

(208) 938-3335

NPI assigned

Dec 18, 2006

Sex

Male

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 ID

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Ogata Chiropractic Inc

  • Chiropractor
  • Boise, ID
  • NPI 1396982567
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355184000000",
    "number": "1487717054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12353 W MCMILLAN RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837135052",
            "telephone_number": "208-938-3334",
            "fax_number": "208-938-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12353 W MCMILLAN RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837135052",
            "telephone_number": "208-938-3334",
            "fax_number": "208-938-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGATA",
        "first_name": "TY",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2012-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Keith Oehlschlager, M.D.
• Sarah Ann Oftedal, MOTR/L
• Shelly Marie Ogami, RPH
• Ogata Chiropractic Inc
• Brittany M Ogata
• Matthew Ogle, D.C.
• Sylvia Oh, L.C.S.W.
• Emily Jean Ohlin, PT
• Rebecca Louise Ohlin, M.A., CCC-SLP
• Oic Eye Care LLC

• Chiropractor in Boise, ID
• Providers in Boise, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.