Individual provider Active NPI

Justin Dan Holland, D.C.

  • Chiropractor
  • Comanche, TX
National Provider Identifier
1366600603
Registry record updated Aug 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10889 Issued in TX
Practice address
910 N Austin St
Comanche, TX 76442-1735
Phone
(325) 356-5283
Fax
(325) 356-5284
NPI assigned
May 22, 2008
Last updated
Aug 25, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10889 TX Primary

Addresses

Primary practice location

910 N Austin St
Comanche, TX 76442-1735

Mailing address

910 N Austin St
Comanche, TX 76442-1735
Phone (325) 356-5283

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080930000822 TX Practitioner - Chiropractic 0042388233 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

910 N Austin
Comanche, TX 76442-1735

910 N Austin St
Comanche, TX 76442-1735
Phone (325) 356-5283

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10889TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Holland Chiropractic Clinic, Inc Chiropractor CurrentSince Apr 11, 2015 Accepting new patients
Holland Chiropractic Clinic Chiropractor PastSince Jan 1, 1990 Accepting new patients

Locations

910 N Austin St
Comanche, TX 76442
Phone (325) 356-5283

1359 W South Loop
Ste B
Stephenville, TX 76401
Phone (254) 968-2726

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": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440460800000",
    "number": "1366600603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 N AUSTIN ST",
            "city": "COMANCHE",
            "state": "TX",
            "postal_code": "764421735",
            "telephone_number": "325-356-5283",
            "fax_number": "325-356-5284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 N AUSTIN ST",
            "city": "COMANCHE",
            "state": "TX",
            "postal_code": "764421735",
            "telephone_number": "325-356-5283",
            "fax_number": "325-356-5284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "JUSTIN",
        "middle_name": "DAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-22",
        "last_updated": "2015-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Comanche, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; 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.