Daniel Bollingberg, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7205 Issued in MN

Practice address

704 W Oakland Ave
Austin, MN 55912-2318

Phone

(507) 433-4013

Fax

(507) 433-4026

NPI assigned

Feb 13, 2024

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 MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bollingberg Chiropractic Clinic LLPGroup PAC ID 6901993633, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Bollingberg Chiropractic Clinic LLP

  • Chiropractor
  • Austin, MN
  • NPI 1518039072

  MN

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1801650452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 W OAKLAND AVE",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "559122318",
            "telephone_number": "507-433-4013",
            "fax_number": "507-433-4026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 W OAKLAND AVE",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "559122318",
            "telephone_number": "507-433-4013",
            "fax_number": "507-433-4026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLINGBERG",
        "first_name": "DANIEL",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "7205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fred Herman Bogott, M.D.
• Jessica L Bohren, C.N.M.
• James Andrew Bohrer, M.D.
• Bollingberg Chiropractic Clinic LLP
• Courtney Bollingberg, DDS
• Faye E Bollingberg, D.C.
• Robert P. Bonacci, M.D.
• Danae Boorsma, CNP, FNP-BC
• Dawn Marie Bos, PHD, ARNP, FNP,PMHNP
• Jennifer Ann Braaten Winch, LICSW

• All providers in Austin, MN
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.