Active NPI
Jeffrey Holden, DC
- Chiropractor
- Oshkosh, WI
National Provider Identifier
1043682693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5135-12
- Practice address
- 1210 S Koeller St
Oshkosh, WI 54902-6170 - Phone
- (971) 302-1093
- NPI assigned
- Oct 22, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5135-12 | WI | Primary |
Addresses
Primary practice location
1210 S Koeller St
Oshkosh, WI 54902-6170
Mailing address
1210 S Koeller St
Oshkosh, WI 54902-6170
Phone (971) 302-1093
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450310400000",
"number": "1043682693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1210 S KOELLER ST",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549026170",
"telephone_number": "971-302-1093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 S KOELLER ST",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549026170",
"telephone_number": "971-302-1093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLDEN",
"first_name": "JEFFREY",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-10-22",
"last_updated": "2015-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "5135-12",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oshkosh, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.