Active NPI
Holst Family Chiropractic PC
- Chiropractor
- De Witt, IA
National Provider Identifier
1023535150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 007538
- Legal business name
- HOLST FAMILY CHIROPRACTIC PC
- Practice address
- 704 11TH St
De Witt, IA 52742-1325 - Phone
- (563) 659-9935
- Fax
- (563) 659-3243
- NPI assigned
- Aug 29, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Zachary J Holst, DC
- Title
- Owner
- Phone
- (563) 659-9935
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 007538 | IA | Primary |
Addresses
Primary practice location
704 11TH St
De Witt, IA 52742-1325
Mailing address
704 11TH St
De Witt, IA 52742-1325
Phone (563) 659-9935
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171002002854 | IA | Part B Supplier - Clinic/Group Practice | 0749555704 |
Receives reassigned benefits from 1 practitioner Practice locations: De Witt, IA |
National Provider Directory
National Provider DirectoryLocations
704 11th St
De Witt, IA 52742
Phone (563) 659-9935
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Waterloo, IA
- NPI 1699015883
-
- Chiropractor
- De Witt, IA
- NPI 1275527517
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503964800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1023535150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "704 11TH ST",
"city": "DE WITT",
"state": "IA",
"postal_code": "527421325",
"telephone_number": "563-659-9935",
"fax_number": "563-659-3243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "704 11TH ST",
"city": "DE WITT",
"state": "IA",
"postal_code": "527421325",
"telephone_number": "563-659-9935",
"fax_number": "563-659-3243"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLST FAMILY CHIROPRACTIC PC",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-29",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "HOLST",
"authorized_official_first_name": "ZACHARY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "563-659-9935",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IA",
"license": "007538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in De Witt, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.