Jeff M Holt, D.C.

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

CH00034326 Issued in WA

Practice address

15418 Main Street
Suite M106
Mill Creek, WA 98012-9021

Phone

(425) 742-6034

Fax

(425) 742-6035

NPI assigned

Dec 20, 2006

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

Enrolled in WA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• WA PPO C-SNP
• devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e

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.

• Mill Creek Wellness Center, PS

  • Chiropractor
  • Mill Creek, WA
  • NPI 1336267194
  Medicare reassignment NPD Authorized official
• Mill Creek Wellness Center

  • Massage Therapist
  • Mill Creek, WA
  • NPI 1902214539
  NPD (past) Authorized official

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1023172319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15418 MAIN STREET",
            "address_2": "SUITE M106",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980129021",
            "telephone_number": "425-742-6034",
            "fax_number": "425-742-6035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15418 MAIN STREET",
            "address_2": "SUITE M106",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980129021",
            "telephone_number": "425-742-6034",
            "fax_number": "425-742-6035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "JEFF",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "WA",
            "license": "CH00034326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Ho
• Martha A Hoffman, ARNP
• Vera M Holcomb, LMP
• Brigit Holland, DC
• Melissa R Holmes, LMP
• Joseph S Hong, D.C.
• Ann Marie Hopkins, LMFTA
• Suna Horie, DO
• Jane Hosman
• George Chiuchi Huang, M.D.

• Rehabilitation Chiropractor in Mill Creek, WA
• Providers in Mill Creek, WA by specialty
• Rehabilitation Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.