Organization Active NPI

Holmes Chiropractic PSC

  • Chiropractor
  • Ashland, KY
National Provider Identifier
1013082650
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HOLMES CHIROPRACTIC PSC
Practice address
455 Armco Rd
Ashland, KY 41101-7370
Phone
(606) 831-4432
Fax
(606) 326-0114
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Authorized official

Name
Dr. Jeremiah Holmes, DCNPI 1689771081
Title
Owner
Phone
(606) 326-1132

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

455 Armco Rd
Ashland, KY 41101-7370

Mailing address

3401 Solutions Center Lockbox #773401
Chicago, IL 60677-3004
Phone (606) 831-4432

Other practice location 1

155 W Central Ave
Ashland, KY 41101-7364
Phone (606) 326-1132

Other identifiers 1

IdentifierTypeStateIssuer
7100113950MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070517000567 KY Part B Supplier - Clinic/Group Practice 2860599370 Receives reassigned benefits from 6 practitioners
Practice locations: Ashland, KY

National Provider Directory

National Provider Directory

Locations

3401 Solutions Ctr
Chicago, IL 60677

3401 Solutions Ctr
#773401
Chicago, IL 60677

613 13th St
Ashland, KY 41101
Phone (606) 326-1132

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1013082650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 SOLUTIONS CENTER LOCKBOX #773401",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606773004",
            "telephone_number": "606-831-4432",
            "fax_number": "606-326-0114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 ARMCO RD",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017370",
            "telephone_number": "606-831-4432",
            "fax_number": "606-326-0114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 W Central Ave",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "KY",
            "postal_code": "411017364",
            "country_code": "US",
            "telephone_number": "606-326-1132",
            "fax_number": "606-326-0114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOLMES CHIROPRACTIC PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-326-1132",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100113950",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.