Active NPI
Dave Holsomback, DC
- Chiropractor
- Little Rock, AR
National Provider Identifier
1336476001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1115
- Practice address
- 9110 Chicot Rd
Suite B2
Little Rock, AR 72209-6176 - Phone
- (501) 565-4277
- NPI assigned
- Nov 17, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 | 1115 | AR | Primary |
Addresses
Primary practice location
9110 Chicot Rd
Suite B2
Little Rock, AR 72209-6176
Mailing address
9110 Chicot Road
Suite B2
Little Rock, AR 72209
Phone (501) 565-4277
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1115 | AR | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258416000000",
"number": "1336476001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9110 CHICOT ROAD",
"address_2": "SUITE B2",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "72209",
"telephone_number": "501-565-4277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9110 CHICOT RD",
"address_2": "SUITE B2",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722096176",
"telephone_number": "501-565-4277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLSOMBACK",
"first_name": "DAVE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-11-17",
"last_updated": "2009-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AR",
"license": "1115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.