Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Ty Ogata, DC

Individual provider Chiropractor · NPI 1487717054

Mr. Ty Ogata, DC is a Chiropractic in Boise, Idaho. Qualified in 1997, 29 years ago. Accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
29
Licensed in
ID
In the registry since
2006
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

12353 W McMillan Rd
Boise, ID 83713-5052
Phone: (208) 938-3334
Fax: (208) 938-3335
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence CHIA920 (ID)

Record details

NPI number1487717054
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedDecember 18, 2006
Last updated in NPPESDecember 11, 2012
Mailing address12353 W McMillan Rd, Boise, ID 83713-5052

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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