Individual provider Active NPI

Michael Robert-Ian Hogan, DC

  • Chiropractor
  • Waynesville, NC
National Provider Identifier
1033446307
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4014 Issued in NC
Practice address
1510 Asheville Rd
Waynesville, NC 28786-3441
Phone
(828) 246-9555
Fax
(828) 246-9556
NPI assigned
Nov 7, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4014 NC Primary

Addresses

Primary practice location

1510 Asheville Rd
Waynesville, NC 28786-3441

Mailing address

1510 Asheville Rd
Waynesville, NC 28786-3441
Phone (828) 246-9555

Other identifiers 1

IdentifierTypeStateIssuer
2458053OtherNCMEDICARE - PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100519000932 NC Practitioner - Chiropractic 2163551771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Blue Mountain Chiropractic CenterGroup PAC ID 3779610688, 2 clinicians

Practice addresses (Care Compare)

1510 Asheville Rd
Waynesville, NC 28786-3441
Phone (828) 246-9555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4014NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Mountain Chiropractic Center Chiropractor CurrentSince Dec 30, 2009 Accepting new patients
Smoky Mountain Sports Medicine & Physical Therapy, Inc. PastSince Jul 31, 2017 Accepting new patients

Locations

270 N Haywood St
Waynesville, NC 28786
Phone (828) 246-9555

1510 Asheville Rd
Waynesville, NC 28786
Phone (828) 246-9555

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1257552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1033446307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 ASHEVILLE RD",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287863441",
            "telephone_number": "828-246-9555",
            "fax_number": "828-246-9556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 ASHEVILLE RD",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287863441",
            "telephone_number": "828-246-9555",
            "fax_number": "828-246-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "MICHAEL",
        "middle_name": "ROBERT-IAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-07",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - PTAN",
            "identifier": "2458053",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.