Individual provider Active NPI

Elton Darrell Holden, DC

  • Chiropractor
  • Atlanta, GA
National Provider Identifier
1174708143
Registry record updated Sep 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR008263 Issued in GA
Practice address
3155 Roswell Rd NE
Suite 140
Atlanta, GA 30305-1821
Phone
(404) 455-4804
Fax
(404) 231-5546
NPI assigned
Jan 8, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR008263 GA Primary

Addresses

Primary practice location

3155 Roswell Rd NE
Suite 140
Atlanta, GA 30305-1821

Mailing address

3155 Roswell Rd NE
Suite 140
Atlanta, GA 30305-1821
Phone (404) 455-4804

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CHIR008263GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Buckhead Chiropractic Group Chiropractor Past Accepting new patients

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, 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": "1199750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221523200000",
    "number": "1174708143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 ROSWELL RD NE",
            "address_2": "SUITE 140",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303051821",
            "telephone_number": "404-455-4804",
            "fax_number": "404-231-5546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 ROSWELL RD NE",
            "address_2": "SUITE 140",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303051821",
            "telephone_number": "404-455-4804",
            "fax_number": "404-231-5546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDEN",
        "first_name": "ELTON",
        "middle_name": "DARRELL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-08",
        "last_updated": "2008-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.