Individual provider Active NPI

Rebecca Lee Ingle Holden, D.C.

  • Chiropractor
  • Chattanooga, TN
National Provider Identifier
1356400824
Registry record updated Jul 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2151 Issued in TN
Practice address
4289 Bonny Oaks Dr Ste 107
Chattanooga, TN 37406
Phone
(423) 892-2717
Fax
(423) 892-9985
NPI assigned
Dec 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIROO7953 GA
Chiropractor 111N00000X 2151 TN Primary

Addresses

Primary practice location

4289 Bonny Oaks Dr Ste 107
Chattanooga, TN 37406

Mailing address

4289 Bonny Oaks Dr Ste 107
Chattanooga, TN 37406-1600
Phone (423) 892-2717

Other identifiers 2

IdentifierTypeStateIssuer
3670012MedicaidTN
3670012OtherTNMEDICARE ID-TYPE UNSPECIFIED

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070806000286 TN Practitioner - Chiropractic 5395836373 Reassigns benefits to 1 organization
I20181112000114 GA Practitioner - Chiropractic 5395836373 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Health PLLCGroup PAC ID 2466347653, 7 clinicians

Practice addresses (Care Compare)

400 S Moore Rd
Suite B
Chattanooga, TN 37412-2987
Phone (423) 894-4771

955 Battlefield Pkwy
Fort Oglethorpe, GA 30742-3945
Phone (706) 866-7575

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIROO7953GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Total Health PLLC Chiropractor CurrentSince Feb 8, 2021 Accepting new patients
Johnson Clinic of Chiropractic P.C. CurrentSince Oct 1, 2022 Accepting new patients
Pray Chiropractic PC Chiropractor Past Accepting new patients

Locations

1423 W Walnut Ave
Ste 3
Dalton, GA 30720
Phone (706) 229-3993

955 Battlefield Pkwy
Ft Oglethorpe, GA 30742
Phone (706) 866-7575

3742 Tennessee Ave
Ste 104
Chattanooga, TN 37409
Phone (423) 265-2225

400 S Moore Rd
Ste B
Chattanooga, TN 37412
Phone (423) 894-4771

400 S Moore Rd
Ste E
Chattanooga, TN 37412

Organizations & group practices 3

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": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530576000000",
    "number": "1356400824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4289 BONNY OAKS DR STE 107",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374061600",
            "telephone_number": "423-892-2717",
            "fax_number": "423-892-9985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4289 BONNY OAKS DR STE 107",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37406",
            "telephone_number": "423-892-2717",
            "fax_number": "423-892-9985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDEN",
        "first_name": "REBECCA",
        "middle_name": "LEE INGLE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2018-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIROO7953",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3670012",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIFIED",
            "identifier": "3670012",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2018; 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.