Organization Active NPI

Dr. Naomi Holloway, DC LLC

  • Chiropractor
  • Lenexa, KS
National Provider Identifier
1184300634
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DR. NAOMI HOLLOWAY, DC LLC
Practice address
8724 Bourgade St
Lenexa, KS 66219-1440
Phone
(913) 732-0410
NPI assigned
Jun 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Authorized official

Name
Dr. Naomi Holloway, DCNPI 1942891916
Title
Manager
Phone
(913) 732-0410

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

8724 Bourgade St
Lenexa, KS 66219-1440

Mailing address

8726 Bourgade St
Lenexa, KS 66219-1440

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230815001263 KS Part B Supplier - Clinic/Group Practice 8325400963 Receives reassigned benefits from 1 practitioner
Practice locations: Lenexa, KS

National Provider Directory

National Provider Directory

Locations

8726 Bourgade St
Lenexa, KS 66219

1030 E Santa Fe St
Olathe, KS 66061

Practitioners & affiliated clinicians

Practitioners 1

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": "1687824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690502400000",
    "number": "1184300634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8726 BOURGADE ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662191440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8724 BOURGADE ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662191440",
            "telephone_number": "913-732-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. NAOMI HOLLOWAY, DC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A",
        "authorized_official_last_name": "HOLLOWAY",
        "authorized_official_first_name": "NAOMI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "913-732-0410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenexa, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.