Ogi Chiropractic, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

OGI CHIROPRACTIC, INC

Practice address

1040 Fond Du Lac Ave
Kewaskum, WI 53040-9590

Phone

(262) 477-1040

Fax

(262) 247-0645

NPI assigned

Nov 6, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Ogi, DCNPI 1932490364

Title

Owner/Provider

Phone

(262) 477-1040

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Thomas Ogi dba Ogi Chiropractic Former legal business name

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Thomas Nathan Ogi, DC

  • Chiropractor
  • Kewaskum, WI
  • NPI 1932490364
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541462400000",
    "number": "1629546726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 FOND DU LAC AVE",
            "city": "KEWASKUM",
            "state": "WI",
            "postal_code": "530409590",
            "telephone_number": "262-477-1040",
            "fax_number": "262-247-0645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 FOND DU LAC AVE",
            "city": "KEWASKUM",
            "state": "WI",
            "postal_code": "530409590",
            "telephone_number": "262-477-1040",
            "fax_number": "262-247-0645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OGI CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-06",
        "last_updated": "2018-11-06",
        "status": "A",
        "authorized_official_last_name": "OGI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "262-477-1040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100020814",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thomas Ogi dba Ogi Chiropractic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Amber Lynn McCarty, RN BSN
• Taylor Catherine Meng, RBT
• Jennifer Rose Nogalski, APNP
• Cheryl Norstrem
• Britney Mae O'Brien, SACIT
• Thomas Nathan Ogi, DC
• Erin Orth, PHARMD
• Holly Marie Paul, MS,OTR/L
• Anthony Alex Rutkowski, MD
• Charlotte Rebecca Rutkowski, MD

• Chiropractor in Kewaskum, WI
• Providers in Kewaskum, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; 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.