Active NPI
Janice I Hogland, PA C
- Physician Assistant
- Centennial, CO
National Provider Identifier
1508828583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1605
- Practice address
- 14000 E Arapahoe Rd
BLDG C, Ste #300
Centennial, CO 80112-4043 - Phone
- (720) 979-0840
- Fax
- (303) 690-5948
- NPI assigned
- Apr 5, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1605 | CO | Primary |
Addresses
Primary practice location
14000 E Arapahoe Rd
BLDG C, Ste #300
Centennial, CO 80112-4043
Mailing address
295 Norse St
Golden, CO 80401-5523
Phone (720) 438-1465
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04855841 | Medicaid | CO |
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
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1605 | CO | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295395200000",
"number": "1508828583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "295 NORSE ST",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804015523",
"telephone_number": "720-438-1465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14000 E ARAPAHOE RD",
"address_2": "BLDG C, STE #300",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801124043",
"telephone_number": "720-979-0840",
"fax_number": "303-690-5948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOGLAND",
"first_name": "JANICE",
"middle_name": "I",
"credential": "PA C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-05",
"last_updated": "2011-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "1605",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04855841",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.