Individual provider Active NPI

Todd Howard Bogos, DC

  • Chiropractor
  • Wilmington, DE
National Provider Identifier
1801837851
Registry record updated Apr 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
F1-0000687 Issued in DE
Practice address
1010 Concord Avenue
Ste 101
Wilmington, DE 19802-3366
Phone
(302) 777-5551
Fax
(302) 777-5567
NPI assigned
Jun 9, 2006
Last updated
Apr 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X MC05538 NJ
Chiropractor 111N00000X DC007803L PA
Chiropractor 111N00000X F1-0000687 DE Primary

Addresses

Primary practice location

1010 Concord Avenue
Ste 101
Wilmington, DE 19802-3366

Mailing address

1010 Concord Avenue
Ste 101
Wilmington, DE 19802-3366
Phone (302) 777-5551

Other practice location 1

1326 South Governors Avenue
Dover, DE 19904-4800
Phone (302) 777-5551

Other practice location 2

757 Pulaski Highway
Bear, DE 19701-5214
Phone (302) 554-5421

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141016002090 DE Practitioner - Chiropractic 7416990049 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F1-0000687DEMDChiropractor
MC05538NJMDChiropractor
DC007803LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Diamond State Chiropractic Center, LLC Chiropractor Current Accepting new patients
Diamond State Chiropractic PA Chiropractor CurrentSince Aug 24, 2023 Accepting new patients
Nowcare LLC Chiropractor Past Accepting new patients
DHCC,LLC Chiropractor PastSince Dec 1, 2002 Accepting new patients
Nowcare LLC Past Accepting new patients

Locations

1101 Twin C Ln
Ste 201
Newark, DE 19713
Phone (302) 882-9355

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649980800000",
    "number": "1801837851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 CONCORD AVENUE",
            "address_2": "STE 101",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198023366",
            "telephone_number": "302-777-5551",
            "fax_number": "302-777-5567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 CONCORD AVENUE",
            "address_2": "STE 101",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198023366",
            "telephone_number": "302-777-5551",
            "fax_number": "302-777-5567"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1326 South Governors Avenue",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "DE",
            "postal_code": "199044800",
            "country_code": "US",
            "telephone_number": "302-777-5551",
            "fax_number": "302-777-5567",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "757 Pulaski Highway",
            "address_purpose": "LOCATION",
            "city": "Bear",
            "state": "DE",
            "postal_code": "197015214",
            "country_code": "US",
            "telephone_number": "302-554-5421",
            "fax_number": "302-554-5019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOGOS",
        "first_name": "TODD",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC05538",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007803L",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "DE",
            "license": "F1-0000687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; 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.