Individual provider Active NPI

David Roy Holder, D.C.

  • Chiropractor
  • Upland, CA
National Provider Identifier
1457652844
Registry record updated Jan 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
28722 Issued in CA
Practice address
886 W Foothill Blvd
Ste E
Upland, CA 91786-3780
Phone
(909) 946-2673
Fax
(909) 946-1872
NPI assigned
Nov 16, 2010
Last updated
Jan 22, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 28722 CA Primary

Addresses

Primary practice location

886 W Foothill Blvd
Ste E
Upland, CA 91786-3780

Mailing address

886 W Foothill Blvd
Ste E
Upland, CA 91786-3780
Phone (909) 946-2673

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516579200000",
    "number": "1457652844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "886 W FOOTHILL BLVD",
            "address_2": "STE E",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863780",
            "telephone_number": "909-946-2673",
            "fax_number": "909-946-1872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "886 W FOOTHILL BLVD",
            "address_2": "STE E",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863780",
            "telephone_number": "909-946-2673",
            "fax_number": "909-946-1872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDER",
        "first_name": "DAVID",
        "middle_name": "ROY",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-16",
        "last_updated": "2018-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "28722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2018; 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.