Active NPI
Les Wayne Hogan, OT/L
- Contractor
- Enterprise, AL
National Provider Identifier
1457415473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 1892
- Practice address
- 707 Boll Weevil Circle
Enterprise, AL 36330 - Phone
- (334) 393-9355
- NPI assigned
- Dec 21, 2006
- Last updated
- Feb 11, 2013
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | 1892 | AL | Primary |
Addresses
Primary practice location
707 Boll Weevil Circle
Enterprise, AL 36330
Mailing address
217 Toro Rd
Hartford, AL 36344-1459
Phone (334) 588-3842
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 515-29563 | Other | AL | BLUE CROSS BLUE SHIELD |
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 |
|---|---|---|---|
| 1892 | AL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Canterbury Aop SNF Operations LLC | Past | Accepting new patients | |
| Shiver Chiropractic Clinic, P.C. | Past | Accepting new patients | |
| Align Health Care | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Canterbury Rehabilitation and Healthcare Center
- Skilled Nursing Facility
- Phenix City, AL
- NPI 1124726567
-
- Chiropractor
- Enterprise, AL
- NPI 1164582557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360540800000",
"number": "1457415473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 TORO RD",
"city": "HARTFORD",
"state": "AL",
"postal_code": "363441459",
"telephone_number": "334-588-3842",
"fax_number": "334-588-0514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 BOLL WEEVIL CIRCLE",
"city": "ENTERPRISE",
"state": "AL",
"postal_code": "36330",
"telephone_number": "334-393-9355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOGAN",
"first_name": "LES",
"middle_name": "WAYNE",
"name_prefix": "Mr.",
"credential": "OT/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-21",
"last_updated": "2013-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "AL",
"license": "1892",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "515-29563",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Enterprise, AL
- Hillside Family Practice PC
- Amelia Grace Hinson, MS, ALC
- Jamie T. Hixon-Griffin, M.D.
- HMR of Alabama Inc (HMR of Alabama CSMBGA Pharmacy)
- HMR of Alabama Inc (CSM Bennie G. Adkins State Veterans Home)
- Marley Hogan, RBT
- Holley Pharmacy Inc (Holley Pharmacy)
- John Neal Holley, RPH.
- Carey Lauren Holloway Douglas, NP-C
- Judith Waters Holloway, NP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.