Individual provider Active NPI

Holly Elaine Orth, DC

  • Chiropractor
  • St Cloud, MN
National Provider Identifier
1043308992
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2169 Issued in MN
Practice address
3700 W Division St
Suite 101
St Cloud, MN 56301
Phone
(320) 529-9999
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2169 MN Primary
Chiropractor 111N00000X 4276 AZ

Addresses

Primary practice location

3700 W Division St
Suite 101
St Cloud, MN 56301

Mailing address

3700 W Division St
Suite 101
St Cloud, MN 56301
Phone (320) 529-9999

Other identifiers 2

IdentifierTypeStateIssuer
267527700MedicaidMN
00B250ROtherBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050608000949 MN Practitioner - Chiropractic 2567405772 Practice locations: Saint Cloud, MN

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3700 W Division St
Suite 101
Saint Cloud, MN 56301-4031
Phone (320) 529-9999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4276AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hjort Chiropractic, P.a. Chiropractor Past Accepting new patients
Hjort Chiropractic, P.a. Chiropractor PastSince Aug 8, 2001 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344902400000",
    "number": "1043308992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 W DIVISION ST",
            "address_2": "SUITE 101",
            "city": "ST CLOUD",
            "state": "MN",
            "postal_code": "56301",
            "telephone_number": "320-529-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 W DIVISION ST",
            "address_2": "SUITE 101",
            "city": "ST CLOUD",
            "state": "MN",
            "postal_code": "56301",
            "telephone_number": "320-529-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTH",
        "first_name": "HOLLY",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2012-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2169",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "4276",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267527700",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00B250R",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.