Bogaart Family Chiropractic P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2004020948 Issued in MO

Legal business name

BOGAART FAMILY CHIROPRACTIC P.C.

Practice address

1645 State Road Z
Pevely, MO 63070-2102

Phone

(636) 479-6888

Fax

(636) 479-6088

NPI assigned

Jan 4, 2008

Last updated

Jun 21, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Adam Alexander Bogaart, DCNPI 1316025729

Title

Owner

Phone

(636) 479-6888

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 1

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.

• Adam Alexander Bogaart, DC

  • Chiropractor
  • Pevely, MO
  • NPI 1316025729
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308614400000",
    "number": "1871778258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 STATE ROAD Z",
            "city": "PEVELY",
            "state": "MO",
            "postal_code": "630702102",
            "telephone_number": "636-479-6888",
            "fax_number": "636-479-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 STATE ROAD Z",
            "city": "PEVELY",
            "state": "MO",
            "postal_code": "630702102",
            "telephone_number": "636-479-6888",
            "fax_number": "636-479-6088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOGAART FAMILY CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-04",
        "last_updated": "2011-06-21",
        "status": "A",
        "authorized_official_last_name": "BOGAART",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-479-6888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2004020948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED",
            "identifier": "143663",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "2233510",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARPENTERS",
            "identifier": "235360",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH LINK",
            "identifier": "682626",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHP",
            "identifier": "235360",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adam Alexander Bogaart, DC
• Kitten Jean Anne Burch, LPC
• Tiffanie Camden, RDH
• Distinction Services LLC (Distinctions Home Care)
• Erin Marie Ditch, PHARMD

• Chiropractor in Pevely, MO
• Providers in Pevely, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.