Organization Active NPI

Holt Chiropractic Center, P.C

  • Chiropractor
  • Holt, MI
National Provider Identifier
1356520829
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CB008795 Issued in MI
Legal business name
HOLT CHIROPRACTIC CENTER, P.C
Practice address
4573 Willoughby Rd
Ste B
Holt, MI 48842-2188
Phone
(517) 699-2646
NPI assigned
Oct 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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

Authorized official

Name
Dr. Catherine Boufford, DC
Title
President
Phone
(517) 980-4914

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CB008795 MI Primary

Addresses

Primary practice location

4573 Willoughby Rd
Ste B
Holt, MI 48842-2188

Mailing address

17575 N Fruitport Rd
Spring Lake, MI 49456-1879
Phone (517) 980-4914

Other identifiers 1

IdentifierTypeStateIssuer
4470037MedicaidMI

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595808000000",
    "number": "1356520829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17575 N FRUITPORT RD",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494561879",
            "telephone_number": "517-980-4914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4573 WILLOUGHBY RD",
            "address_2": "STE B",
            "city": "HOLT",
            "state": "MI",
            "postal_code": "488422188",
            "telephone_number": "517-699-2646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLT CHIROPRACTIC CENTER, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A",
        "authorized_official_last_name": "BOUFFORD",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-980-4914",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "CB008795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4470037",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holt, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; 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.