Organization Active NPI

Hogue Chiropractic Center PLLC

  • Chiropractor
  • Edgewood, KY
National Provider Identifier
1710174610
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4644 Issued in KY
Legal business name
HOGUE CHIROPRACTIC CENTER PLLC
Practice address
174 Barnwood Dr
Edgewood, KY 41017-2501
Phone
(859) 341-7746
Fax
(859) 341-4214
NPI assigned
Sep 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

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

Authorized official

Name
Matthew HogueNPI 1952338402
Title
Managing Member
Phone
(859) 341-7746

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4644 KY Primary

Addresses

Primary practice location

174 Barnwood Dr
Edgewood, KY 41017-2501

Mailing address

174 Barnwood Dr.
Edgewood, KY 41017-2501
Phone (859) 341-7746

Other identifiers 1

IdentifierTypeStateIssuer
9469OtherKYMEDICARE GROUP NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050105000545 KY Part B Supplier - Clinic/Group Practice 0446208524 Receives reassigned benefits from 1 practitioner
Practice locations: Edgewood, KY

National Provider Directory

National Provider Directory

Locations

174 Barnwood Dr
Edgewood, KY 41017
Phone (859) 341-7746

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1710174610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 BARNWOOD DR.",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410172501",
            "telephone_number": "859-341-7746",
            "fax_number": "859-341-4214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 BARNWOOD DR",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410172501",
            "telephone_number": "859-341-7746",
            "fax_number": "859-341-4214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOGUE CHIROPRACTIC CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "HOGUE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "859-341-7746"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "9469",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewood, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; 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.