Organization Active NPI

Hallowitz Holistic Healing, P.S.

Doing business as CDA Acupuncture and Holistic Healing

  • Multi-Specialty Clinic/Center
  • Coeur d'Alene, ID
National Provider Identifier
1063922805
Registry record updated May 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
HALLOWITZ HOLISTIC HEALING, P.S.
Doing business as
CDA Acupuncture and Holistic Healing
Practice address
810 E Sherman Ave
Coeur D Alene, ID 83814-4149
Phone
(208) 665-2293
Fax
(208) 664-8973
NPI assigned
Oct 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2020

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

Authorized official

Name
Dr. Toby Kyle Hallowitz, ND, MSOM, EAMPNPI 1518154285
Title
President
Phone
(509) 869-4206

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X ACU-283 ID
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

810 E Sherman Ave
Coeur D Alene, ID 83814-4149

Mailing address

PO Box 3482
Post Falls, ID 83877-3482
Phone (208) 209-6170

Other practice location 1

101 N Evergreen Rd
Spokane Valley, WA 99216-0819
Phone (509) 228-3528

Other names 1

  • CDA Acupuncture and Holistic Healing Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220119000124 ID Part B Supplier - Clinic/Group Practice 9638561939 Receives reassigned benefits from 2 practitioners
Practice locations: Coeur D Alene, ID

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
13D2273480Cda Acupuncture & Holistic Healing810 E Sherman Ave, Coeur D'Alene, ID 83814Certificate of waiverDec 13, 2026

National Provider Directory

National Provider Directory

Locations

810 E Sherman Ave
Coeur D Alene, ID 83814
Phone (208) 665-2293

225 E Locust Ave
Coeur D Alene, ID 83814
Phone (208) 665-2293

101 N Evergreen Rd
Spokane Valley, WA 99216
Phone (509) 228-3528

Practitioners & affiliated clinicians

Practitioners 8

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": "1507248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589500800000",
    "number": "1063922805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3482",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838773482",
            "telephone_number": "208-209-6170",
            "fax_number": "208-209-6169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 E SHERMAN AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144149",
            "telephone_number": "208-665-2293",
            "fax_number": "208-664-8973"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 N Evergreen Rd",
            "address_purpose": "LOCATION",
            "city": "Spokane Valley",
            "state": "WA",
            "postal_code": "992160819",
            "country_code": "US",
            "telephone_number": "509-228-3528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HALLOWITZ HOLISTIC HEALING, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-06",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A",
        "authorized_official_last_name": "HALLOWITZ",
        "authorized_official_first_name": "TOBY",
        "authorized_official_middle_name": "KYLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-869-4206",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND, MSOM, EAMP"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "ID",
            "license": "ACU-283",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CDA Acupuncture and Holistic Healing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coeur d'Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; 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.