Individual provider Active NPI

Logan Hengst, DC

  • Chiropractor
  • Trophy Club, TX
National Provider Identifier
1710683065
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15480 Issued in TX
Practice address
2240 TX-114
Suite #660
Trophy Club, TX 76262
Phone
(817) 415-4012
NPI assigned
Feb 7, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 15480 TX Primary

Addresses

Primary practice location

2240 TX-114
Suite #660
Trophy Club, TX 76262

Mailing address

2240 TX-114
Suite #660
Trophy Club, TX 76262
Phone (817) 415-4012

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230426002219 TX Practitioner - Chiropractic 5597120592 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Waco Integrated Medical PLLCGroup PAC ID 3274863808, 10 clinicians

Practice addresses (Care Compare)

1139 N Loop
Suite 340
Waco, TX 76705-2486
Phone (254) 799-8343

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15480TXMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Waco Integrated Medical PLLC CurrentSince Jul 15, 2024 Accepting new patients
Comprehensive Injury Treatment Services PLLC CurrentSince Feb 12, 2024 Accepting new patients
Kaikoa LLC Chiropractor Past Accepting new patients
MBS Wellness Chiropractic Center PastSince Feb 12, 2024 Accepting new patients
Freeform Wellness PLLC PastSince Sep 1, 2019 Accepting new patients

Locations

1856 Patriot Cir
Copperas Cove, TX 76522
Phone (254) 258-2295

101 Cooperative Way
Ste 235
Georgetown, TX 78626
Phone (512) 630-0060

518 N Hewitt Dr
Ste A
Hewitt, TX 76643

539 Town Center Loop
Jarrell, TX 76537

900 W Central Texas Expy
Killeen, TX 76541
Phone (254) 634-4010

300 W Central Texas Expy
Killeen, TX 76541
Phone (254) 634-4010

1602 W Avenue A
Ste B
Temple, TX 76504
Phone (254) 778-6474

61 N Kegley Rd
Temple, TX 76502
Phone (254) 899-2225

1139 N Loop 340
Waco, TX 76705
Phone (254) 799-8343

5000 W Waco Dr
Waco, TX 76710
Phone (254) 537-1064

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1710683065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 TX-114",
            "address_2": "SUITE #660",
            "city": "TROPHY CLUB",
            "state": "TX",
            "postal_code": "76262",
            "telephone_number": "817-415-4012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 TX-114",
            "address_2": "SUITE #660",
            "city": "TROPHY CLUB",
            "state": "TX",
            "postal_code": "76262",
            "telephone_number": "817-415-4012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENGST",
        "first_name": "LOGAN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-07",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "15480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trophy Club, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.