Individual provider Active NPI

Christopher Neal Holcomb, DC

  • Chiropractor
  • Carrollton, TX
National Provider Identifier
1255100640
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15704 Issued in TX
Practice address
4425 Plano Pkwy Ste 901
Carrollton, TX 75010-5033
Phone
(972) 713-9355
NPI assigned
Dec 27, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 15704 TX Primary

Addresses

Primary practice location

4425 Plano Pkwy Ste 901
Carrollton, TX 75010-5033

Mailing address

4425 Plano Pkwy Ste 901
Carrollton, TX 75010-5033
Phone (972) 713-9355

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240202000420 TX Practitioner - Chiropractic 0941653281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Health Clinic PLLCGroup PAC ID 4688724073, 2 clinicians

Practice addresses (Care Compare)

4425 Plano Pkwy
Suite 901
Carrollton, TX 75010-5033
Phone (972) 713-9355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15704TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Clinic PLLC Chiropractor CurrentSince May 1, 2024 Accepting new patients

Locations

4425 Plano Pkwy
Ste 901
Carrollton, TX 75010
Phone (972) 713-9355

9669 N Central Expy
Ste 200
Dallas, TX 75231
Phone (214) 265-9000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1703635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1255100640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 PLANO PKWY STE 901",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750105033",
            "telephone_number": "972-713-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 PLANO PKWY STE 901",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750105033",
            "telephone_number": "972-713-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLCOMB",
        "first_name": "CHRISTOPHER",
        "middle_name": "NEAL",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-27",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "15704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; 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.