Organization Active NPI

Blue Mountain Chiropractic Center

  • Chiropractor
  • Waynesville, NC
National Provider Identifier
1427370394
Registry record updated Jan 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4014 Issued in NC
Legal business name
BLUE MOUNTAIN CHIROPRACTIC CENTER
Practice address
270 N Haywood St
Waynesville, NC 28786-3748
Phone
(828) 400-1034
NPI assigned
Feb 19, 2010
Last updated
Jan 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2011

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

Authorized official

Name
Dr. Michael Robert-Ian Hogan, DCNPI 1033446307
Title
President
Phone
(828) 400-1034

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 4014 NC Primary

Addresses

Primary practice location

270 N Haywood St
Waynesville, NC 28786-3748

Mailing address

270 N Haywood St
Waynesville, NC 28786-3748
Phone (828) 400-1034

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
O20100426000276 NC Part B Supplier - Clinic/Group Practice 3779610688 Receives reassigned benefits from 2 practitioners
Practice locations: Waynesville, NC

National Provider Directory

National Provider Directory

Locations

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

489 Walnut St
Waynesville, NC 28786
Phone (828) 400-1034

Practitioners & affiliated clinicians

Practitioners 10

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": "1266537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295740800000",
    "number": "1427370394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 N HAYWOOD ST",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287863748",
            "telephone_number": "828-400-1034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 N HAYWOOD ST",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287863748",
            "telephone_number": "828-400-1034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE MOUNTAIN CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-19",
        "last_updated": "2011-01-23",
        "status": "A",
        "authorized_official_last_name": "HOGAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ROBERT-IAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-400-1034",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "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 Jan 23, 2011; 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.