Tabitha Lynn Ogle, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2012001172 Issued in MO

Practice address

617 N Jefferson Ave
Lebanon, MO 65536-2745

Phone

(417) 532-2986

Fax

(417) 532-2271

NPI assigned

Jan 23, 2012

Sex

Female

Sole proprietor

Yes

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 MO

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ogle Chiropractic and Rehab Center LLCGroup PAC ID 2860627189, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Ogle Chiropractic and Rehab Center, LLC

  • Chiropractor
  • Waynesville, MO
  • NPI 1982046728
  Medicare reassignment Care Compare group NPD
• Back to Health Chiropractic Center LLC

  • Chiropractor
  • Lebanon, MO
  • NPI 1457773871
  NPD (past)

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

{
    "created_epoch": "1327276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476144000000",
    "number": "1487925475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 ICHORD AVE",
            "address_2": "STE B",
            "city": "WAYNESVILLE",
            "state": "MO",
            "postal_code": "655835402",
            "telephone_number": "417-532-2986",
            "fax_number": "417-532-2271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 N JEFFERSON AVE",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655362745",
            "telephone_number": "417-532-2986",
            "fax_number": "417-532-2271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGLE",
        "first_name": "TABITHA",
        "middle_name": "LYNN",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-23",
        "last_updated": "2016-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2012001172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northland Hearing Center, Inc.
• Casey Null, DPT
• Chukwudi Emmanuel Nwodo, M.D.
• O.C.C.S., Inc.
• Shane R Ogle, D.C.
• Sharron Fiona Oleniacz, CRNA
• Olive Mountain Residential Care LLC
• Barry E Olson, MD
• Lisa Osborn, CRNA
• Jose S Padilla Jr., MD

• Chiropractor in Lebanon, MO
• Providers in Lebanon, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; 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.