Holly Elizebeth York, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301009429 Issued in MI

Practice address

3138 Broadmoor Ave SE
Kentwood, MI 49512-1845

Phone

(616) 575-9105

Fax

(616) 575-9107

NPI assigned

Jan 7, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peak Performance Integrated Medicine PLCGroup PAC ID 7012918196, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Peak Performance Integrated Medicine, PLC

  • Chiropractor
  • Grand Rapids, MI
  • NPI 1932250693
  Medicare reassignment Care Compare group
• Chiropractic Health Center of Rockford

  • Chiropractor
  • Rockford, MI
  • NPI 1710042999
  NPD (past)
• Great Lakes Family Chiropractic, Inc.

  • Chiropractor
  • Kentwood, MI
  • NPI 1811975717
  NPD (past)
• Integrated Physical Medicine PLLC

  • Family Medicine Physician
  • Rockford, MI
  • NPI 1790067015
  NPD (past)
• Lakeview Family Chiropractors Inc

  • Chiropractor
  • Lakeview, MI
  • NPI 1922191048
  NPD (past)

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419292800000",
    "number": "1376728568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3138 BROADMOOR AVE SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495121845",
            "telephone_number": "616-575-9105",
            "fax_number": "616-575-9107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3138 BROADMOOR AVE SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495121845",
            "telephone_number": "616-575-9105",
            "fax_number": "616-575-9107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YORK",
        "first_name": "HOLLY",
        "middle_name": "ELIZEBETH",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-07",
        "last_updated": "2014-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID INDIVIDUAL ID",
            "identifier": "1376728568",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922191048",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Woodland Family Chiropractic LLC
• Katlyn Worst
• Rutkia Wright
• Clarice Yon, MA, ATC, LAT
• Seok Min Yoon
• Dawn Yorton, C-PED, ATC
• Crystal Young, PH.D.
• Lawrence Donta Young
• Lauren Eva Zago
• Zawadi USA LLC

• Chiropractor in Kentwood, MI
• Providers in Kentwood, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2014; 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.