Individual provider Active NPI

Woodrow C. L. Holmes, D.C.

  • Chiropractor
  • Newport News, VA
National Provider Identifier
1386858074
Registry record updated Apr 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556499 Issued in VA
Practice address
741 Thimble Shoals Blvd
Suite 308
Newport News, VA 23606-3560
Phone
(757) 873-1701
Fax
(757) 873-3870
NPI assigned
May 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR008117 GA
Chiropractor 111N00000X 0104556499 VA Primary

Addresses

Primary practice location

741 Thimble Shoals Blvd
Suite 308
Newport News, VA 23606-3560

Mailing address

51 W Governor Dr
Newport News, VA 23602-7443
Phone (404) 840-7112

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100816000131 VA Practitioner - Chiropractic 5890829642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rebound Chiropractic Health Center LTDGroup PAC ID 7517989551, 4 clinicians

Practice addresses (Care Compare)

580 City Ctr Blvd
Suite 1
Newport News, VA 23606-1880
Phone (757) 873-8701

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rebound Chiropractic Health Center LTD Chiropractor CurrentSince Feb 4, 2025 Accepting new patients

Locations

580 City Center Blvd
Ste 1
Newport News, VA 23606
Phone (757) 873-8701

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271203200000",
    "number": "1386858074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 W GOVERNOR DR",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236027443",
            "telephone_number": "404-840-7112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 THIMBLE SHOALS BLVD",
            "address_2": "SUITE 308",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236063560",
            "telephone_number": "757-873-1701",
            "fax_number": "757-873-3870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "WOODROW",
        "middle_name": "C. L.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2010-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008117",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.

Verify at the official NPI Registry.