Active NPI
Alan Joshua Woggon, D.C.
- Orthopedic Chiropractor
- Dallas, TX
National Provider Identifier
1619272945
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Jul 20, 2020.
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- License
- 11497
- Practice address
- 2618 Electronic LN
Suite 102
Dallas, TX 75220-1216 - Phone
- (214) 350-7708
- Fax
- (214) 350-2855
- NPI assigned
- Jan 18, 2011
- Last updated
- Jan 18, 2011
- 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 |
|---|---|---|---|---|
| Orthopedic Chiropractor | 111NX0800X | 11497 | TX | Primary |
Addresses
Primary practice location
2618 Electronic LN
Suite 102
Dallas, TX 75220-1216
Mailing address
2618 Electronic LN
Suite 102
Dallas, TX 75220-1216
Phone (214) 350-7708
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11497 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295308800000",
"number": "1619272945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2618 ELECTRONIC LN",
"address_2": "SUITE 102",
"city": "DALLAS",
"state": "TX",
"postal_code": "752201216",
"telephone_number": "214-350-7708",
"fax_number": "214-350-2855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2618 ELECTRONIC LN",
"address_2": "SUITE 102",
"city": "DALLAS",
"state": "TX",
"postal_code": "752201216",
"telephone_number": "214-350-7708",
"fax_number": "214-350-2855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOGGON",
"first_name": "ALAN",
"middle_name": "JOSHUA",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-01-18",
"last_updated": "2011-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "TX",
"license": "11497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.