Organization Active NPI

Holl Enterprises, LLC

Doing business as Complete Balance Chiropractic

  • Chiropractor
  • Ralston, NE
National Provider Identifier
1225495666
Registry record updated Dec 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1220 Issued in NE
Legal business name
HOLL ENTERPRISES, LLC
Doing business as
Complete Balance Chiropractic
Practice address
7320 Harrison St
Ralston, NE 68128-1734
Phone
(402) 980-5148
NPI assigned
Jan 15, 2016
Last updated
Dec 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2016

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

Authorized official

Name
Dr. Cary Holl, DCNPI 1356439434
Title
Owner
Phone
(402) 980-5148

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
Chiropractor 111N00000X 1220 NE Primary

Addresses

Primary practice location

7320 Harrison St
Ralston, NE 68128-1734

Mailing address

7320 Harrison St
Ralston, NE 68128-1734
Phone (402) 980-5148

Other identifiers 2

IdentifierTypeStateIssuer
10026617800MedicaidNE
DN2800OtherNERAILROAD MEDICARE

Other names 1

  • Complete Balance Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170110002363 NE Part B Supplier - Clinic/Group Practice 9234410010 Receives reassigned benefits from 1 practitioner
Practice locations: Ralston, NE

National Provider Directory

National Provider Directory

Locations

7320 Harrison St
Ralston, NE 68128
Phone (402) 452-3350

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1452816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482364800000",
    "number": "1225495666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7320 HARRISON ST",
            "city": "RALSTON",
            "state": "NE",
            "postal_code": "681281734",
            "telephone_number": "402-980-5148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7320 HARRISON ST",
            "city": "RALSTON",
            "state": "NE",
            "postal_code": "681281734",
            "telephone_number": "402-980-5148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLL ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-15",
        "last_updated": "2016-12-22",
        "status": "A",
        "authorized_official_last_name": "HOLL",
        "authorized_official_first_name": "CARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-980-5148",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026617800",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DN2800",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Complete Balance Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ralston, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; 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.