Matthew Ogle, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-1518 Issued in ID

Practice address

13999 W Wainwright Dr Ste 201
Boise, ID 83713-1967

Phone

(208) 939-0775

NPI assigned

Sep 13, 2012

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

Cleveland Chiropractic College - Kansas City, 2012

Medicare assignment

May accept Medicare assignment

Group practices

Highland Chiropractic PLLCGroup PAC ID 6406170125, 3 clinicians

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.

• Highland Chiropractic PLLC

  • Chiropractor
  • Boise, ID
  • NPI 1548514409
  Medicare reassignment Care Compare group NPD Authorized official
• Active Living Chiropractic & Wellness LLC

  • Chiropractor
  • Boise, ID
  • NPI 1316415623
  NPD

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1730439100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13999 W WAINWRIGHT DR STE 201",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837131967",
            "telephone_number": "208-939-0775",
            "fax_number": "208-301-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13999 W WAINWRIGHT DR STE 201",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837131967",
            "telephone_number": "208-939-0775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGLE",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-13",
        "last_updated": "2024-02-23",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Ann Oftedal, MOTR/L
• Shelly Marie Ogami, RPH
• Ogata Chiropractic Inc
• Brittany M Ogata
• Ty Ogata, DC
• Sylvia Oh, L.C.S.W.
• Emily Jean Ohlin, PT
• Rebecca Louise Ohlin, M.A., CCC-SLP
• Oic Eye Care LLC
• Christine Marie Oja, MD

• 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 Feb 23, 2024; 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.