Individual provider Active NPI

Chad Decker Vogelgesang, DC

  • Chiropractor
  • Massillon, OH
National Provider Identifier
1861702862
Registry record updated Mar 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4247 Issued in OH
Practice address
7266 Portage St NW
Suite C
Massillon, OH 44646-7826
Phone
(330) 818-1212
Fax
(330) 818-1215
NPI assigned
Oct 12, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4247 OH Primary

Addresses

Primary practice location

7266 Portage St NW
Suite C
Massillon, OH 44646-7826

Mailing address

7266 Portage St NW
Suite C
Massillon, OH 44646-7826
Phone (330) 818-1212

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130419000423 OH Practitioner - Chiropractic 1254577158 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7266 Portage St NW
Apt C
Massillon, OH 44646-7986
Phone (330) 818-1212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4247OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Vogelgesang Family Chiropractic, Inc Chiropractor CurrentSince Feb 12, 2013 Accepting new patients

Locations

7266 Portage St NW
Apt C
Massillon, OH 44646
Phone (330) 818-1212

Organizations & group practices 1

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": "1286841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457913600000",
    "number": "1861702862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7266 PORTAGE ST NW",
            "address_2": "SUITE C",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446467826",
            "telephone_number": "330-818-1212",
            "fax_number": "330-818-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7266 PORTAGE ST NW",
            "address_2": "SUITE C",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446467826",
            "telephone_number": "330-818-1212",
            "fax_number": "330-818-1215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOGELGESANG",
        "first_name": "CHAD",
        "middle_name": "DECKER",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-12",
        "last_updated": "2016-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massillon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; 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.