Individual provider Active NPI

Jeffrey A. Holtz, D.C.

  • Sports Physician Chiropractor
  • Hanover, PA
National Provider Identifier
1407937113
Registry record updated Mar 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
DC009971 Issued in PA
Practice address
123 York St
Hanover, PA 17331-3113
Phone
(717) 633-1945
Fax
(717) 633-1655
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X DC009971 PA Primary

Addresses

Primary practice location

123 York St
Hanover, PA 17331-3113

Mailing address

123 York St
Hanover, PA 17331-3113
Phone (717) 633-1945

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080826000072 PA Practitioner - Chiropractic 2264507268 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holtz Family Chiropractic LLCGroup PAC ID 4082710694, 2 clinicians

Practice addresses (Care Compare)

147 N Main St
Spring Grove, PA 17362-1115
Phone (717) 739-8146

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Holtz Family Chiropractic, LLC CurrentSince Aug 1, 2008 Accepting new patients

Locations

1157 Eichelberger St
Ste 3
Hanover, PA 17331
Phone (717) 633-1945

147 N Main St
Spring Grove, PA 17362
Phone (717) 739-8146

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364515200000",
    "number": "1407937113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 YORK ST",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173313113",
            "telephone_number": "717-633-1945",
            "fax_number": "717-633-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 YORK ST",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173313113",
            "telephone_number": "717-633-1945",
            "fax_number": "717-633-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLTZ",
        "first_name": "JEFFREY",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2013-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "PA",
            "license": "DC009971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2013; 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.