Active NPI
Holly Graham
- Chiropractor
- Saint Johns, MI
National Provider Identifier
1346749637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301010600
- Practice address
- 1051 S US Highway 27
Saint Johns, MI 48879-2437 - Phone
- (989) 224-8688
- NPI assigned
- Feb 1, 2018
- Last updated
- Aug 22, 2018
- Sex
- Female
- 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 | 2301010600 | MI | Primary |
Addresses
Primary practice location
1051 S US Highway 27
Saint Johns, MI 48879-2437
Mailing address
1051 S US Highway 27
Saint Johns, MI 48879-2437
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180322001107 | MI | Practitioner - Chiropractic | 0648532085 | Practice locations: Saint Johns, MI |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2301010600 | MI | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534896000000",
"number": "1346749637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1051 S US HIGHWAY 27",
"city": "SAINT JOHNS",
"state": "MI",
"postal_code": "488792437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1051 S US HIGHWAY 27",
"city": "SAINT JOHNS",
"state": "MI",
"postal_code": "488792437",
"telephone_number": "989-224-8688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "HOLLY",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-01",
"last_updated": "2018-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MI",
"license": "2301010600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Johns, MI
- David Jon Goeckel, DDS
- Robert Goerge, ATC
- Grace Haven Assisted Living
- Grace Haven Assisted Living LLC (Grace Haven Assisted Living - Laboratory)
- Charles Peter Graham, D.C.
- Stephanie Hadley, LMSW, IMH-E
- Jessica Kristie Hafner, ATC/L
- Samantha Hallenbeck, DPT
- Melissa F Halvorson, MD
- Jennifer L. Hardy, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.