Individual provider Active NPI

Richard P Hogue Jr., DC

  • Chiropractor
  • Greenville, SC
National Provider Identifier
1841234754
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1062 Issued in SC
Practice address
140 West Stone Ave
Greenville, SC 29609
Phone
(864) 232-1111
Fax
(864) 242-9172
NPI assigned
Jun 15, 2006
Last updated
Jun 17, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1062 SC Primary

Addresses

Primary practice location

140 West Stone Ave
Greenville, SC 29609

Mailing address

PO Box 2282
Greenville, SC 29602-2282
Phone (864) 232-1111

Other identifiers 1

IdentifierTypeStateIssuer
GCH475MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101103000619 SC Practitioner - Chiropractic 4082808027 Practice locations: Greenville, SC

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 1986
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

140 W Stone Ave
Greenville, SC 29609-5524
Phone (864) 232-1111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1062SCMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Hogue Chiropractic Chiropractor PastSince Mar 11, 1997 Accepting new patients
Hackett Chiropractic, LLC Chiropractor Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213660800000",
    "number": "1841234754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2282",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296022282",
            "telephone_number": "864-232-1111",
            "fax_number": "864-242-9172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 WEST STONE AVE",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29609",
            "telephone_number": "864-232-1111",
            "fax_number": "864-242-9172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGUE",
        "first_name": "RICHARD",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2008-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "1062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GCH475",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.