Individual provider Active NPI

Hannah Hogan, LAC

  • Acupuncturist
  • Bend, OR
National Provider Identifier
1932503455
Registry record updated Mar 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC167881 Issued in OR
Practice address
929 SW Simpson Ave
#150
Bend, OR 97702-3599
Phone
(510) 684-0057
NPI assigned
Oct 13, 2014
Last updated
Mar 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC167881 OR Primary

Addresses

Primary practice location

929 SW Simpson Ave
#150
Bend, OR 97702-3599

Mailing address

843 NE Jones Rd
Bend, OR 97701-3915
Phone (510) 684-0057

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AC167881ORMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Hannah Hogan Herbs and Acupuncture CurrentSince Mar 26, 2023 Accepting new patients

Locations

911 NE 4th St
Ste 2
Bend, OR 97701
Phone (541) 350-0723

Organizations & group practices 1

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": "1413158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679184000000",
    "number": "1932503455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "843 NE JONES RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977013915",
            "telephone_number": "510-684-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 SW SIMPSON AVE",
            "address_2": "#150",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023599",
            "telephone_number": "510-684-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "HANNAH",
        "name_prefix": "Mrs.",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-13",
        "last_updated": "2023-03-19",
        "certification_date": "2023-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC167881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.