Michael Hogan, DC, DACBSP

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

CH00034038 Issued in WA

Practice address

2519 Colby Ave
Everett, WA 98201-2915

Phone

(425) 610-3796

Fax

(425) 610-3803

NPI assigned

Mar 28, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Michael P Hogan DC PLLC

  • Chiropractor
  • Everett, WA
  • NPI 1205473295
  NPD

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1972622330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2519 COLBY AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982012915",
            "telephone_number": "425-610-3796",
            "fax_number": "425-610-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2519 COLBY AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982012915",
            "telephone_number": "425-610-3796",
            "fax_number": "425-610-3803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DC, DACBSP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "WA",
            "license": "CH00034038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vincent Hofford
• Vicki Hofmann
• Alanna Rae Hoftiezer, ADN, RN
• Josh Shane Hogan, SUDP
• Kelli Jo Hogan, MA, LMHC, MHP
• Colton James Hoggarth
• Dale Hoistad, PT
• Hojoong Ryu DDS PLLC
• Ryan K Hoke, M.D.
• Roger Holbrook

• Sports Physician Chiropractor in Everett, WA
• Providers in Everett, WA by specialty
• Sports Physician Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; 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.