Active NPI
Cary L Holl, DC
- Chiropractor
- Ralston, NE
National Provider Identifier
1356439434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1220
- Practice address
- 8013 L St
Ralston, NE 68127-1734 - Phone
- (402) 592-7686
- Fax
- (402) 592-0689
- NPI assigned
- Oct 11, 2006
- Last updated
- Aug 30, 2010
- Sex
- Male
- Sole proprietor
- No
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 | 1220 | NE | Primary |
Addresses
Primary practice location
8013 L St
Ralston, NE 68127-1734
Mailing address
8013 L St
Ralston, NE 68127-1734
Phone (402) 592-7686
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09735 | Other | NE | BCBS |
| P00204720 | Other | NE | RR MEDICARE |
| 1517805 | Medicaid | IA | |
| 47082043200 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1998
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
7320 Harrison St
Ralston, NE 68128-2904
Phone (402) 452-3350
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holl Enterprises, LLC | Chiropractor | Current | Accepting new patients |
| RKM Inc. | Chiropractor | Past | Accepting new patients |
Locations
7320 Harrison St
Ralston, NE 68128
Phone (402) 452-3350
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283126400000",
"number": "1356439434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8013 L ST",
"city": "RALSTON",
"state": "NE",
"postal_code": "681271734",
"telephone_number": "402-592-7686",
"fax_number": "402-592-0689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8013 L ST",
"city": "RALSTON",
"state": "NE",
"postal_code": "681271734",
"telephone_number": "402-592-7686",
"fax_number": "402-592-0689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLL",
"first_name": "CARY",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2010-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NE",
"license": "1220",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "09735",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00204720",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1517805",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47082043200",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ralston, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; 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.