Nathanael Bogedain, D.C. M.SC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

12689 Issued in TX

Practice address

701 N Vista Ridge Blvd
Apt 11205
Cedar Park, TX 78613-7844

Phone

(610) 764-9602

NPI assigned

Jan 7, 2015

Last updated

Jan 7, 2015By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420588800000",
    "number": "1710375126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N VISTA RIDGE BLVD",
            "address_2": "APT 11205",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137844",
            "telephone_number": "610-764-9602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N VISTA RIDGE BLVD",
            "address_2": "APT 11205",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137844",
            "telephone_number": "610-764-9602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGEDAIN",
        "first_name": "NATHANAEL",
        "name_prefix": "Dr.",
        "credential": "D.C. M.SC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-07",
        "last_updated": "2015-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen S Bodi, PA-C
• Sandeep Bodige, D.O.
• Body Restoration and Relaxation Massage Therapy, LLC (BY RX Massage Therapy)
• Ryan Boeck, M.D.
• Michael Bruce Bogdanovich, MD
• Lindsay Bogenn
• Carrie Jean Bolen, OD
• Jacqueline M Boles, LMFT
• Edward J Bombach, MD
• Caroline Mary Bonnema, MSN, APRN, AGNP-C

• Chiropractor in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.