Active NPI
John Diamond Holland IV, D.C.
- Chiropractor
- Seal Beach, CA
National Provider Identifier
1417130428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC 24413
- Practice address
- 911 Electric Ave
Seal Beach, CA 90740-6315 - Phone
- (562) 322-6533
- Fax
- (562) 594-6009
- NPI assigned
- Dec 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC 24413 | CA | Primary |
Addresses
Primary practice location
911 Electric Ave
Seal Beach, CA 90740-6315
Mailing address
911 Electric Ave
Seal Beach, CA 90740-6315
Phone (562) 322-6533
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC 24413 | CA | MD | Chiropractor |
| 24413 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ian D Brodie MD F R C S Inc | Past | Accepting new patients |
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.
-
- Preferred Provider Organization
- Seal Beach, CA
- NPI 1164742557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261094400000",
"number": "1417130428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "911 ELECTRIC AVE",
"city": "SEAL BEACH",
"state": "CA",
"postal_code": "907406315",
"telephone_number": "562-322-6533",
"fax_number": "562-594-6009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 ELECTRIC AVE",
"city": "SEAL BEACH",
"state": "CA",
"postal_code": "907406315",
"telephone_number": "562-322-6533",
"fax_number": "562-594-6009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLAND",
"first_name": "JOHN",
"middle_name": "DIAMOND",
"name_suffix": "IV",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-12",
"last_updated": "2009-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC 24413",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seal Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.