Bergkamp Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4762 Issued in KS

Legal business name

BERGKAMP CHIROPRACTIC LLC

Practice address

11330 E Central Ave
Ste 500
Wichita, KS 67206-2835

Phone

(316) 682-6161

Fax

(316) 682-7650

NPI assigned

Sep 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jill Suzanne Bergkamp-Engle, DCNPI 1669478509

Title

Owner

Phone

(316) 682-6161

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Bergkamp Hart Chiropractic Former legal business name

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jill S Bergkamp-Engle, DC

  • Chiropractor
  • Wichita, KS
  • NPI 1669478509
  Medicare reassignment NPD Authorized official
• Jason R Hart, DC

  • Chiropractor
  • Montgomery, AL
  • NPI 1376633784
  NPD (past)

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360108800000",
    "number": "1982701637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11330 E CENTRAL AVE",
            "address_2": "STE 500",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062835",
            "telephone_number": "316-682-6161",
            "fax_number": "316-682-7650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11330 E CENTRAL AVE",
            "address_2": "STE 500",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062835",
            "telephone_number": "316-682-6161",
            "fax_number": "316-682-7650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGKAMP CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-17",
        "last_updated": "2013-02-06",
        "status": "A",
        "authorized_official_last_name": "BERGKAMP-ENGLE",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "SUZANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-682-6161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "4762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7590418",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "060939",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "141894",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHS",
            "identifier": "14550",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bergkamp Hart Chiropractic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Pamela Beranek, LSCSW
• Sandra K Berg, LPC LCPC
• Katherine Collette Bergamasco, CLVT
• Sarah Anne Bergeson, LPC, LCPC
• Renee Lee Berggren, MA CCC-SLP
• Jill S Bergkamp-Engle, DC
• Donna Sue Bergkamp
• Joseph Theodore Bergkamp, PHARMD
• Julianna M Bergkamp, ARNP
• Brady Jim Bergman, LPC-T

• Chiropractor in Wichita, KS
• Providers in Wichita, KS by specialty
• Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; 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.