Individual provider Active NPI

Shelly Chicoine Hogan, D.C.

  • Chiropractor
  • Austin, TX
National Provider Identifier
1194850347
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10200 Issued in TX
Practice address
9616 N Lamar Blvd
Ste. 180
Austin, TX 78753-4152
Phone
(512) 339-9888
Fax
(512) 339-9891
NPI assigned
Feb 21, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10200 TX Primary

Addresses

Primary practice location

9616 N Lamar Blvd
Ste. 180
Austin, TX 78753-4152

Mailing address

9616 N Lamar Blvd
Ste. 180
Austin, TX 78753-4152
Phone (512) 339-9888

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090407000123 TX Practitioner - Chiropractic 0042367138 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chicoine Chiropractic LLCGroup PAC ID 7113074378, 2 clinicians

Practice addresses (Care Compare)

3407 Wells Branch Pkwy
Suite 625
Austin, TX 78728-6619
Phone (512) 255-1777

9515 N Lamar Blvd
Suite 168
Austin, TX 78753-4124
Phone (512) 339-9888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rahman Family Clinic, P.a. Past Accepting new patients

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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194850347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9616 N LAMAR BLVD",
            "address_2": "STE. 180",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787534152",
            "telephone_number": "512-339-9888",
            "fax_number": "512-339-9891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9616 N LAMAR BLVD",
            "address_2": "STE. 180",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787534152",
            "telephone_number": "512-339-9888",
            "fax_number": "512-339-9891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "SHELLY",
        "middle_name": "CHICOINE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.