Active NPI
Charles Hogan, D.C.
- Chiropractor
- Cordova, TN
National Provider Identifier
1003274812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2912
- 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, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2912 | TN | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ach LLC | Chiropractor | Current | 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.
-
- Chiropractor
- Cordova, TN
- NPI 1104374412
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.