Individual provider Active NPI

Kevin Holman, D.C.

  • Chiropractor
  • Hastings, MN
National Provider Identifier
1215327721
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6957 Issued in MN
Practice address
1260 S Frontage Rd.
Suite B
Hastings, MN 55033
Phone
(651) 243-0633
NPI assigned
Feb 4, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6957 MN Primary
Chiropractor 111N00000X CHR0007230 CO

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 practice location 1

410 9th St
Golden, CO 80401-1066
Phone (720) 593-2225

Other practice location 2

7384 S Alton Way
#102
Centennial, CO 80112-2369
Phone (303) 462-4476

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221104002453 MN Practitioner - Chiropractic 9032485073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1260 S Frontage Rd
Suite B
Hastings, MN 55033-1296
Phone (651) 243-0633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHR0007230COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Health Chiropractic, P.C. Chiropractor CurrentSince Aug 22, 2022 Accepting new patients
Maximized Health Chiropractic Chiropractor Past Accepting new patients

Locations

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

Organizations & group practices 2

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": "1423008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1215327721",
    "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": [
        {
            "address_1": "410 9th St",
            "address_purpose": "LOCATION",
            "city": "Golden",
            "state": "CO",
            "postal_code": "804011066",
            "country_code": "US",
            "telephone_number": "720-593-2225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7384 S Alton Way",
            "address_2": "#102",
            "address_purpose": "LOCATION",
            "city": "Centennial",
            "state": "CO",
            "postal_code": "801122369",
            "country_code": "US",
            "telephone_number": "303-462-4476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLMAN",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-04",
        "last_updated": "2022-12-06",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6957",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR0007230",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 6, 2022; 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.