Individual provider Active NPI

Steven W Holtz, D.C.

  • Chiropractor
  • Menomonee Falls, WI
National Provider Identifier
1437112471
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1710-012 Issued in WI
Practice address
N48W14336 Hampton Rd Ste 200
Menomonee Falls, WI 53051-6941
Phone
(262) 502-0028
Fax
(262) 532-4122
NPI assigned
Apr 10, 2006
Last updated
May 29, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1710-012 WI Primary

Addresses

Primary practice location

N48W14336 Hampton Rd Ste 200
Menomonee Falls, WI 53051-6941

Mailing address

N48W14336 Hampton Rd Ste 200
Menomonee Falls, WI 53051-6941
Phone (262) 502-0028

Other identifiers 1

IdentifierTypeStateIssuer
38771500MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040105000369 WI Practitioner - Chiropractic 1254230782 Practice locations: Menomonee Falls, WI

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

N48W14336 Hampton Rd
Suite 200
Menomonee Falls, WI 53051-6941
Phone (262) 502-0028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1710-012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
A. Grbich LLC Past Accepting new patients
PT Plus Management Corp PastSince Feb 18, 2019 Accepting new patients
Pravo Wellness & Associates Chiropractor Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1437112471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N48W14336 HAMPTON RD STE 200",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530516941",
            "telephone_number": "262-502-0028",
            "fax_number": "262-532-4122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N48W14336 HAMPTON RD STE 200",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530516941",
            "telephone_number": "262-502-0028",
            "fax_number": "262-532-4122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLTZ",
        "first_name": "STEVEN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "1710-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38771500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Menomonee Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; 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.