Active NPI
Bob M Hollander, D.C.
- Chiropractor
- Odessa, TX
National Provider Identifier
1255362554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2985
- Practice address
- 3710 Blossom LN
Odessa, TX 79762-6965 - Phone
- (432) 349-3891
- Fax
- (214) 242-6712
- NPI assigned
- Jul 5, 2006
- Last updated
- Apr 19, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2985 | TX | Primary |
Addresses
Primary practice location
3710 Blossom LN
Odessa, TX 79762-6965
Mailing address
3710 Blossom LN
Odessa, TX 79762-6965
Phone (432) 349-3891
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8X6921 | Other | TX | BCBS PROVIDER I.D. ROCT |
| 407368AW8K | Other | TX | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2985 | TX | MD | Chiropractor |
| 115 | NM | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bobby Mal Hollander, D.C. P.C. | Chiropractor | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Hollander Chiropractic Clinic
- Chiropractor
- Odessa, TX
- NPI 1376625699
-
- Chiropractor
- Graham, TX
- NPI 1851892780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524096000000",
"number": "1255362554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3710 BLOSSOM LN",
"city": "ODESSA",
"state": "TX",
"postal_code": "797626965",
"telephone_number": "432-349-3891",
"fax_number": "214-242-6712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3710 BLOSSOM LN",
"city": "ODESSA",
"state": "TX",
"postal_code": "797626965",
"telephone_number": "432-349-3891",
"fax_number": "214-242-6712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLANDER",
"first_name": "BOB",
"middle_name": "M",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2018-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "2985",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER I.D. ROCT",
"identifier": "8X6921",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "407368AW8K",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Odessa, TX
- Hanh Hoang Lovitt, PA-C
- Hochatown Dialysis LLC (Odessa Dialysis)
- Camden E Hoeffner, LPC
- Andrea Renee Holguin
- Holistic Wellness Institute (Tommy L. Pool)
- Cheryl Ann Hollingsworth, M.D.
- Kathryn York Hollmann, MS.CCC.SLP
- Jennifer Zant Holloman, PT
- Paul Anthony Holmes, D.C.
- Home Healthcare Nursing, LLC (Home Nursing)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.