Organization Active NPI

Optimal Health Chiropractic, P.C.

  • Chiropractor
  • Hastings, MN
National Provider Identifier
1194453365
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
OPTIMAL HEALTH CHIROPRACTIC, P.C.
Doing business as
Optimal Health Chiropractic
Practice address
1260 S Frontage Rd.
Suite B
Hastings, MN 55033
Phone
(651) 243-0633
NPI assigned
Aug 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Authorized official

Name
Kevin HolmanNPI 1215327721
Title
President
Phone
(651) 243-0633

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

1260 S Frontage Rd.
Suite B
Hastings, MN 55033

Mailing address

1260 S Frontage Rd.
Suite B
Hastings, MN 55033
Phone (651) 243-0633

Other names 1

  • Optimal Health Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221104002420 MN Part B Supplier - Clinic/Group Practice 6800263765 Receives reassigned benefits from 1 practitioner
Practice locations: Hastings, MN

National Provider Directory

National Provider Directory

Locations

1260 S Frontage Rd
#B
Hastings, MN 55033
Phone (651) 243-0633

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": "1660521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1194453365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 S FRONTAGE RD.",
            "address_2": "SUITE B",
            "city": "HASTINGS",
            "state": "MN",
            "postal_code": "55033",
            "telephone_number": "651-243-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 S FRONTAGE RD.",
            "address_2": "SUITE B",
            "city": "HASTINGS",
            "state": "MN",
            "postal_code": "55033",
            "telephone_number": "651-243-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL HEALTH CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "HOLMAN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-243-0633"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimal Health Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hastings, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.