Active NPI
Kenneth James Hogan, D.C.
- Chiropractor
- Las Vegas, NV
National Provider Identifier
1336185255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- B-533
- Practice address
- 2675 E Flamingo Rd
Suite 9
Las Vegas, NV 89121-5211 - Phone
- (702) 650-2227
- Fax
- (702) 650-9654
- NPI assigned
- Jun 20, 2006
- 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 | B-533 | NV | Primary |
Addresses
Primary practice location
2675 E Flamingo Rd
Suite 9
Las Vegas, NV 89121-5211
Mailing address
2675 E Flamingo Rd
Suite 9
Las Vegas, NV 89121-5211
Phone (702) 650-2227
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B-533 | NV | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392249600000",
"number": "1336185255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2675 E FLAMINGO RD",
"address_2": "SUITE 9",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891215211",
"telephone_number": "702-650-2227",
"fax_number": "702-650-9654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2675 E FLAMINGO RD",
"address_2": "SUITE 9",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891215211",
"telephone_number": "702-650-2227",
"fax_number": "702-650-9654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOGAN",
"first_name": "KENNETH",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-20",
"last_updated": "2014-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NV",
"license": "B-533",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.