Active NPI
Michael Robert-Ian Hogan, DC
- Chiropractor
- Waynesville, NC
National Provider Identifier
1033446307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4014
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2458053 | Other | NC | MEDICARE - PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2009
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4014 | NC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Mountain Chiropractic Center | Chiropractor | Current | Accepting new patients |
| Smoky Mountain Sports Medicine & Physical Therapy, Inc. | Past | 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.
-
- Chiropractor
- Waynesville, NC
- NPI 1427370394
-
- Physical Therapist
- Sylva, NC
- NPI 1710419619
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.