Organization Active NPI

Hoglund Chiropractic Center PA

  • Chiropractor
  • Merritt Island, FL
National Provider Identifier
1215088836
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHOOO5125 Issued in FL
Legal business name
HOGLUND CHIROPRACTIC CENTER PA
Practice address
1395 N Courtenay Pkwy Ste 205
Merritt Island, FL 32953-4475
Phone
(321) 452-5826
Fax
(321) 452-5750
NPI assigned
Jan 12, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Edward William Hoglund, D.C.NPI 1063431955
Title
President
Phone
(321) 452-5826

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHOOO5125 FL Primary

Addresses

Primary practice location

1395 N Courtenay Pkwy Ste 205
Merritt Island, FL 32953-4475

Mailing address

1395 N Courtenay Pkwy Ste 205
Merritt Island, FL 32953-4475
Phone (321) 452-5826

Other identifiers 1

IdentifierTypeStateIssuer
CHOOO5125OtherFLSTATE LICENSE #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070226000251 FL Part B Supplier - Clinic/Group Practice 8123120904 Receives reassigned benefits from 1 practitioner
Practice locations: Merritt Island, FL

National Provider Directory

National Provider Directory

Locations

1395 N Courtenay Pkwy
Ste 205
Merritt Island, FL 32953
Phone (321) 452-5826

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215088836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 N COURTENAY PKWY STE 205",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534475",
            "telephone_number": "321-452-5826",
            "fax_number": "321-452-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 N COURTENAY PKWY STE 205",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534475",
            "telephone_number": "321-452-5826",
            "fax_number": "321-452-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOGLUND CHIROPRACTIC CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOGLUND",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-452-5826",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CHOOO5125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "CHOOO5125",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.