NPIMap

Organization Active NPI

Hollstrom Chiropractic LLC

  • Chiropractor
  • Fort Collins, CO
National Provider Identifier
1376780809
Registry record updated Jun 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6310 Issued in CO
Legal business name
HOLLSTROM CHIROPRACTIC LLC
Practice address
4021 S College Ave Ste B
Fort Collins, CO 80525-3057
Phone
(970) 266-0003
Fax
(970) 266-8077
NPI assigned
Jan 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2013

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

Authorized official

Name
Dr. Catherine Ann Hollstrom, DCNPI 1508162298
Title
Doctor/Owner
Phone
(970) 266-0003

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 6310 CO Primary

Addresses

Primary practice location

4021 S College Ave Ste B
Fort Collins, CO 80525-3057

Mailing address

4021 S College Ave Ste B
Fort Collins, CO 80525-3057
Phone (970) 266-0003

Other identifiers 1

IdentifierTypeStateIssuer
1508162298OtherCONPI

Other names 1

  • Pivotal Wellness Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hollstrom Chiropractic LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4021 S College Ave
Ste B
Fort Collins, CO 80525
Phone (970) 266-0003

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371427200000",
    "number": "1376780809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4021 S COLLEGE AVE STE B",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253057",
            "telephone_number": "970-266-0003",
            "fax_number": "970-266-8077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4021 S COLLEGE AVE STE B",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253057",
            "telephone_number": "970-266-0003",
            "fax_number": "970-266-8077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLSTROM CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-21",
        "last_updated": "2013-06-17",
        "status": "A",
        "authorized_official_last_name": "HOLLSTROM",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "970-266-0003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1508162298",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pivotal Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; 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.