Individual provider Active NPI

Tara Elizabeth Hogan, D.C.

  • Chiropractor
  • Waynesville, NC
National Provider Identifier
1932404969
Registry record updated Jan 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4112 Issued in NC
Practice address
270 N Haywood St
Waynesville, NC 28786-3748
Phone
(828) 550-6858
NPI assigned
Jan 23, 2011
Last updated
Jan 23, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4112 NC Primary

Addresses

Primary practice location

270 N Haywood St
Waynesville, NC 28786-3748

Mailing address

270 N Haywood St
Waynesville, NC 28786-3748
Phone (828) 550-6858

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150908003059 NC Practitioner - Chiropractic 9739495680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Blue Mountain Chiropractic CenterGroup PAC ID 3779610688, 2 clinicians

Practice addresses (Care Compare)

1510 Asheville Rd
Waynesville, NC 28786-3441
Phone (828) 246-9555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Mountain Chiropractic Center Chiropractor CurrentSince Jul 25, 2015 Accepting new patients
Smoky Mountain Sports Medicine & Physical Therapy, Inc. PastSince Jul 31, 2017 Accepting new patients

Locations

1510 Asheville Rd
Waynesville, NC 28786
Phone (828) 246-9555

270 N Haywood St
Waynesville, NC 28786
Phone (828) 246-9555

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": "1295740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295740800000",
    "number": "1932404969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 N HAYWOOD ST",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287863748",
            "telephone_number": "828-550-6858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 N HAYWOOD ST",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287863748",
            "telephone_number": "828-550-6858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "TARA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-23",
        "last_updated": "2011-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2011; 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.