Individual provider Active NPI

Scott Hogan, D.C.

  • Chiropractor
  • Rosemount, MN
National Provider Identifier
1740744911
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6567 Issued in MN
Practice address
2930 146TH St. W #110
Rosemount, MN 55068
Phone
(651) 463-8222
Fax
(651) 463-8228
NPI assigned
Jan 22, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6567 MN Primary

Addresses

Primary practice location

2930 146TH St. W #110
Rosemount, MN 55068

Mailing address

2930 146TH St. W #110
Rosemount, MN 55068-4820
Phone (651) 463-8222

Other practice location 1

20965 S Diamond Lake Rd
Rogers, MN 55374-4820
Phone (763) 424-5511

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190221003025 MN Practitioner - Chiropractic 5991044711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthpro Chiropractic PCGroup PAC ID 5799842886, 5 clinicians

Practice addresses (Care Compare)

2930 146TH St W
Suite 110
Rosemount, MN 55068-3750
Phone (651) 463-8222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6567MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpro Chiropractic PC Chiropractor CurrentSince Mar 21, 2020 Accepting new patients
Healthpro Chiropractic Burnsville PC Chiropractor CurrentSince Mar 21, 2020 Accepting new patients
Northern Community Chiropractic Chiropractor PastSince Jan 1, 2019 Accepting new patients

Locations

150 E Travelers Trl
Ste B
Burnsville, MN 55337
Phone (651) 463-8222

2930 146th St W
Ste 110
Rosemount, MN 55068
Phone (651) 463-8222

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1740744911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 146TH ST. W #110",
            "city": "ROSEMOUNT",
            "state": "MN",
            "postal_code": "550684820",
            "telephone_number": "651-463-8222",
            "fax_number": "651-463-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 146TH ST. W #110",
            "city": "ROSEMOUNT",
            "state": "MN",
            "postal_code": "55068",
            "telephone_number": "651-463-8222",
            "fax_number": "651-463-8228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20965 S Diamond Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Rogers",
            "state": "MN",
            "postal_code": "553744820",
            "country_code": "US",
            "telephone_number": "763-424-5511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-22",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosemount, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; 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.