Individual provider Active NPI

Jonathan Holmes, DC

  • Chiropractor
  • Olympia, WA
National Provider Identifier
1316411028
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
60903236 Issued in WA
Practice address
822 Sleater Kinney Rd NE
Olympia, WA 98506-5271
Phone
(208) 220-2661
NPI assigned
Jan 15, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 60903236 WA Primary

Addresses

Primary practice location

822 Sleater Kinney Rd NE
Olympia, WA 98506-5271

Mailing address

822 Sleater Kinney Rd NE
Olympia, WA 98506-5271
Phone (208) 220-2661

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190909001182 WA Practitioner - Chiropractic 9032448584 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

822 Sleater Kinney Rd NE
Suite B
Olympia, WA 98506-5291
Phone (208) 220-2661

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60903236WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Holmes Family Chiropractic PC Chiropractor CurrentSince Oct 5, 2018 Accepting new patients

Locations

822 Sleater Kinney Rd NE
Ste B
Olympia, WA 98506
Phone (208) 220-2661

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": "1547510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1316411028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 SLEATER KINNEY RD NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065271",
            "telephone_number": "208-220-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 SLEATER KINNEY RD NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065271",
            "telephone_number": "208-220-2661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "JONATHAN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-15",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "60903236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; 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.