Individual provider Active NPI

Jeffrey A Hollar, D.C.

  • Chiropractor
  • Harrisonburg, VA
National Provider Identifier
1073522645
Registry record updated Apr 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556047 Issued in VA
Practice address
2505 Evelyn Byrd Ave
Suite B
Harrisonburg, VA 22801-3493
Phone
(540) 574-6166
Fax
(540) 574-6018
NPI assigned
Aug 5, 2006
Last updated
Apr 2, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104556047 VA Primary

Addresses

Primary practice location

2505 Evelyn Byrd Ave
Suite B
Harrisonburg, VA 22801-3493

Mailing address

PO Box 2248
Harrisonburg, VA 22801-9507
Phone (540) 574-6166

Other identifiers 1

IdentifierTypeStateIssuer
194043OtherVAANTHEM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081229000551 VA Practitioner - Chiropractic 9638160153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Los Angeles, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2505 Evelyn Byrd Ave
Suite B
Harrisonburg, VA 22801-3493
Phone (540) 574-6166

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104556047VAMDChiropractor
7180AZMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Hollar Enterprises Inc Chiropractor CurrentSince Jun 9, 2008 Accepting new patients
First Chiropractic Valencia LLC Chiropractor Past Accepting new patients
Catalina Medical Group, LLC Chiropractor PastSince Apr 7, 2017 Accepting new patients
First Chiropractic - 22ND St LLC Chiropractor PastSince Aug 1, 2015 Accepting new patients
Back to Back Chiropractic, Inc Chiropractor Past Accepting new patients

Locations

2505 Evelyn Byrd Ave
#B
Harrisonburg, VA 22801
Phone (540) 208-0838

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238630400000",
    "number": "1073522645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2248",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228019507",
            "telephone_number": "540-574-6166",
            "fax_number": "540-574-6018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 EVELYN BYRD AVE",
            "address_2": "SUITE B",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228013493",
            "telephone_number": "540-574-6166",
            "fax_number": "540-574-6018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAR",
        "first_name": "JEFFREY",
        "middle_name": "A",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2009-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "194043",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; 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.