Organization Active NPI

Edward C Holmes Chiropractic PC

  • Chiropractor
  • Edmond, OK
National Provider Identifier
1346424074
Registry record updated Oct 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3908 Issued in OK
Legal business name
EDWARD C HOLMES CHIROPRACTIC PC
Practice address
814 Pine Oak Dr
Edmond, OK 73034-4650
Phone
(405) 315-2897
Fax
(405) 315-2897
NPI assigned
Dec 17, 2007
Last updated
Oct 27, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2009

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

Authorized official

Name
Dr. Edward C Holmes, DC
Title
President/Owner
Phone
(405) 315-2897

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3908 OK Primary

Addresses

Primary practice location

814 Pine Oak Dr
Edmond, OK 73034-4650

Mailing address

814 Pine Oak Dr
Edmond, OK 73034-4650
Phone (405) 315-2897

Other identifiers 1

IdentifierTypeStateIssuer
2132687MedicaidOH

National Provider Directory

National Provider Directory

Locations

1400 S Fretz Ave
Ste 130
Edmond, OK 73003
Phone (405) 285-1429

Practitioners & affiliated clinicians

Practitioners 1

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": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256601600000",
    "number": "1346424074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 PINE OAK DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730344650",
            "telephone_number": "405-315-2897",
            "fax_number": "405-315-2897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 PINE OAK DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730344650",
            "telephone_number": "405-315-2897",
            "fax_number": "405-315-2897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD C HOLMES CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2009-10-27",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "405-315-2897",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2132687",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

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

Verify at the official NPI Registry.