Individual provider Active NPI

Charles Hogan, D.C.

  • Chiropractor
  • Cordova, TN
National Provider Identifier
1003274812
Registry record updated Feb 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2912 Issued in TN
Practice address
1740 N Germantown Pkwy
Suite #6
Cordova, TN 38016-3307
Phone
(901) 752-4300
NPI assigned
Feb 8, 2016
Last updated
Feb 8, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 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 2912 TN Primary

Addresses

Primary practice location

1740 N Germantown Pkwy
Suite #6
Cordova, TN 38016-3307

Mailing address

1740 N Germantown Pkwy
Suite #6
Cordova, TN 38016-3307

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161031002335 TN Practitioner - Chiropractic 0446538102 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2912TNMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Ach LLC Chiropractor CurrentSince Feb 1, 2021 Accepting new patients

Locations

1740 N Germantown Pkwy
Ste 6
Cordova, TN 38016
Phone (901) 752-4300

372 S Main St
Memphis, TN 38103
Phone (901) 752-4300

372 S Main St
Apt 101
Memphis, TN 38103
Phone (901) 453-6080

Networks

  • MS PPO
  • AL HMO D-SNP
  • devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
  • MS PPO C-SNP
  • KY PPO
  • TN PPO C-SNP
  • MS PPO D-SNP
  • AL HMO
  • devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
  • KY PPO C-SNP
  • devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
  • devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
  • devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
  • TN PPO

Organizations & group practices 2

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": "1454889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454889600000",
    "number": "1003274812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 N GERMANTOWN PKWY",
            "address_2": "SUITE #6",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380163307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 N GERMANTOWN PKWY",
            "address_2": "SUITE #6",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380163307",
            "telephone_number": "901-752-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "CHARLES",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-08",
        "last_updated": "2016-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; 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.