Active NPI
Wayne A Hogan, D.C.
- Chiropractor
- Mechanicville, NY
National Provider Identifier
1962475335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X03080
- Practice address
- 905 Hudson River Rd
Mechanicville, NY 12118-0591 - Phone
- (518) 664-5281
- Fax
- (518) 664-2106
- NPI assigned
- Feb 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X03080 | NY | Primary |
Addresses
Primary practice location
905 Hudson River Rd
Mechanicville, NY 12118-0591
Mailing address
PO Box 591
Mechanicville, NY 12118-0591
Phone (518) 664-5281
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10029193 | Other | NY | CDPHP |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003080 | NY | MD | Mental Health Counselor |
| X03080 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289865600000",
"number": "1962475335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 591",
"city": "MECHANICVILLE",
"state": "NY",
"postal_code": "121180591",
"telephone_number": "518-664-5281",
"fax_number": "518-664-2106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 HUDSON RIVER RD",
"city": "MECHANICVILLE",
"state": "NY",
"postal_code": "121180591",
"telephone_number": "518-664-5281",
"fax_number": "518-664-2106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOGAN",
"first_name": "WAYNE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-08",
"last_updated": "2010-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X03080",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10029193",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mechanicville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.