Organization Active NPI

Fogel Clinics, LLC

  • Chiropractor
  • Gregory, SD
National Provider Identifier
1801180195
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
FOGEL CLINICS, LLC
Practice address
422 Whittecar Ave
Gregory, SD 57533-1341
Phone
(605) 835-8701
Fax
(605) 835-9124
NPI assigned
Jun 3, 2011
Last updated
Dec 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2011

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

Authorized official

Name
Tami L Curtis
Title
Clinic Manager
Phone
(605) 835-8701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

422 Whittecar Ave
Gregory, SD 57533-1341

Mailing address

422 Whittecar Ave
Gregory, SD 57533-1341
Phone (605) 835-8701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110725000085 SD Part B Supplier - Clinic/Group Practice 2365610037 Receives reassigned benefits from 2 practitioners
Practice locations: Burke, SD; Gregory, SD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1307059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322697600000",
    "number": "1801180195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 WHITTECAR AVE",
            "city": "GREGORY",
            "state": "SD",
            "postal_code": "575331341",
            "telephone_number": "605-835-8701",
            "fax_number": "605-835-9124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 WHITTECAR AVE",
            "city": "GREGORY",
            "state": "SD",
            "postal_code": "575331341",
            "telephone_number": "605-835-8701",
            "fax_number": "605-835-9124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOGEL CLINICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-03",
        "last_updated": "2011-12-01",
        "status": "A",
        "authorized_official_last_name": "CURTIS",
        "authorized_official_first_name": "TAMI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "605-835-8701"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gregory, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.