TRAVIS HOGAN (NPI# 1972155414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972155414 |
| Entity Type | Individual |
| Full Name | TRAVIS HOGAN |
| Practice Address |
865 N Arizola Rd Casa Grande AZ 85122-6011 |
| Mailing Address |
Po Box 10097 Casa Grande AZ 85130-0020 |
| Practice Telephone | 5208363446 |
| Practice Fax Number | 5208368807 |
| Mailing Telephone | 5208363446 |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2020-08-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D010419 | AZ | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14858 N Frank Lloyd Wright Blvd Ste 165, Scottsdale, AZ 852602216 | 4808604455 |
| Street Address |
865 N ARIZOLA RD |
| City | CASA GRANDE |
| State | AZ |
| Zip Code | 85122-6011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407859416 | Jeannette Vaughn-dotterer | Physician Assistant | 865 N Arizola Rd, Casa Grande, AZ 85222-6011 | 2005-05-23 |
| 1215538533 | Jeffrey Andrew Asman | Pharmacist | 865 N Arizola Rd, Casa Grande, AZ 85122-6011 | 2020-11-03 |
| 1558960740 | Sharon Lyndell Goettsch | Dental Hygienist | 865 N Arizola Rd, Casa Grande, AZ 85122-6011 | 2020-10-20 |
| 1447858899 | Paul Asimah Kwofie | Dental Hygienist | 865 N Arizola Rd, Casa Grande, AZ 85122-6011 | 2020-10-16 |
| 1568077550 | Ann Kelly Truong | Pharmacist | 865 N Arizola Rd, Casa Grande, AZ 85122-6011 | 2020-09-15 |
| 1518575877 | Travis William Warman | Pharmacist | 865 N Arizola Rd, Casa Grande, AZ 85122-6011 | 2020-07-22 |
| 1851935415 | Briona Perry | Pharmacist | 865 N Arizola Rd, Casa Grande, AZ 85122-6011 | 2019-11-06 |
| 1366098030 | Megan Jo Kilgore | Pharmacist | 865 N Arizola Rd, Casa Grande, AZ 85122-6011 | 2019-08-17 |
| 1073168803 | Brian Maniga | Pharmacist | 865 N Arizola Rd, Casa Grande, AZ 85122-6011 | 2019-08-08 |
| 1457911810 | Sarah Jean Davis | Nurse Practitioner | 865 N Arizola Rd, Casa Grande, AZ 85122-6011 | 2019-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043857097 | Karen M Garcia | Registered Nurse | 2631 N Brown Avenue, Casa Grande, AZ 85122 | 2019-12-09 |
| 1063060291 | Martha Bollin | Registered Nurse | 2631 N. Brown Ave., Casa Grande, AZ 85122 | 2019-08-30 |
| 1841846920 | Banner Imaging Services LLC | Radiology | 1828 E. Florence Blvd Bldg B Ste 118 & 128, Suite 118 and 128, Casa Grande, AZ 85122 | 2019-08-14 |
| 1629532692 | Kirk Lee Mackley | Physical Therapist | Vibrant Care, 1355 E Florence Blvd #137, Casa Grande, AZ 85122 | 2019-01-24 |
| 1205307436 | Natalie T Trujillo | Physician Assistant | 301 E Cottonwood Ln Ste 1&2, Casa Grande, AZ 85122 | 2018-12-16 |
| 1710455860 | Community Intervention Associates, Inc | Clinic/Center | 1667 N. Trekell Rd, Suite 101 & 102, Casa Grande, AZ 85122 | 2018-11-07 |
| 1245728302 | Jenkins Chiropractic LLC | Chiropractor | 1891 N Trekell Rd Ste 2, Casa Grande, AZ 85122 | 2018-04-24 |
| 1497242408 | Kelly Winnett | Naturopath | 1415 N Trekell Rd Ste 102, Casa Grande, AZ 85122 | 2018-04-16 |
| 1851895783 | Michael Brubaker Counseling | Community/Behavioral Health | 1927 N. Trekell Rd, Ste D, Casa Grande, AZ 85122 | 2018-03-23 |
| 1770095317 | Walmart Stores Inc. | Pharmacy | 1741 E. Florence Blvd, Casa Grande, AZ 85122 | 2017-11-03 |
| Find all providers in zip 85122 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366040057 | Hdp Casa Grande Dental LLC | Dentist | 1968 N Peart Rd Ste 22, Casa Grande, AZ 85122-2497 | 2020-10-14 |
| 1851521918 | Casa Grande Impressions II, LLC | Dentist | 442 W Kortsen Rd, Suite 104, Casa Grande, AZ 85222-5913 | 2009-07-22 |
| 1770712820 | Tyson Archer Davis | Dentist | 2028 N Trekell Rd Ste 107, Casa Grande, AZ 85122-1326 | 2009-07-10 |
| 1437392248 | Promenade Smiles, LLP | Dentist | 808 N Mission Pkwy, Casa Grande, AZ 85194-8412 | 2009-04-08 |
| 1639333479 | Villago Marketplace Dental Care PC | Dentist | 2876 N Pinal Ave, Suite 4, Casa Grande, AZ 85222 | 2008-07-10 |
| 1639344849 | Steven H. Dill | Dentist | 2028 N Trekell Rd Ste 108, Casa Grande, AZ 85222-1326 | 2008-04-29 |
| 1619168259 | Spencer David Weed | Dentist | 1677 E Florence Blvd Ste 24, Casa Grande, AZ 85122-4786 | 2007-08-08 |
| 1033319942 | Brannon Jay Gunnell | Dentist | 1550 E Florence Blvd Ste 4, Casa Grande, AZ 85222-4788 | 2007-07-19 |
| 1225175847 | Scott Paul Gunnell | Dentist | 1550 E Florence Blvd, 4, Casa Grande, AZ 85222 | 2007-01-31 |
| 1487791018 | Daryl B. Potyczka | Dentist | 1355 E. Florence Ave. #107, Casa Grande, AZ 85222 | 2007-01-31 |
| Find all providers in CASA GRANDE | ||||
| City | CASA GRANDE |
| Zip Code | 85122 |
Please comment or provide details below to improve the information on TRAVIS HOGAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.