Organization Active NPI

Holst Family Chiropractic PC

  • Chiropractor
  • De Witt, IA
National Provider Identifier
1023535150
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007538 Issued in IA
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

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Zachary J Holst, DCNPI 1699015883
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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.