Individual provider Active NPI

Jaycob M. Holohan, DC

  • Chiropractor
  • Burleson, TX
National Provider Identifier
1073446076
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
16698 Issued in TX
Practice address
1001 SW Wilshire Blvd Ste D
Burleson, TX 76028-5716
Phone
(817) 447-1414
Fax
(817) 447-3463
NPI assigned
Jun 8, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 16698 TX Primary

Addresses

Primary practice location

1001 SW Wilshire Blvd Ste D
Burleson, TX 76028-5716

Mailing address

617 Kentucky Derby LN
Fort Worth, TX 76179-7315
Phone (817) 876-8763

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260623003036 TX Practitioner - Chiropractic 0446723308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10802 Quail Plaza Dr
Suite 112
Oklahoma City, OK 73120-3116

617 Kentucky Derby LN
Fort Worth, TX 76179-7315

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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": "1780876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1073446076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 KENTUCKY DERBY LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761797315",
            "telephone_number": "817-876-8763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SW WILSHIRE BLVD STE D",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760285716",
            "telephone_number": "817-447-1414",
            "fax_number": "817-447-3463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLOHAN",
        "first_name": "JAYCOB",
        "middle_name": "M.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-06-08",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "16698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burleson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; 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.