Charles E Holton Jr., DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1963 Issued in OR

Practice address

289 E Ellendale Ave
Ste 102
Dallas, OR 97338

Phone

(503) 623-3903

Fax

(503) 623-3803

NPI assigned

Sep 25, 2006

Last updated

Oct 4, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 1983

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Charles E Holton, Jr DC Inc

  • Chiropractor
  • Dallas, OR
  • NPI 1063769214
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1477653921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 E ELLENDALE AVE",
            "address_2": "STE 102",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "97338",
            "telephone_number": "503-623-3903",
            "fax_number": "503-623-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 E ELLENDALE AVE",
            "address_2": "STE 102",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "97338",
            "telephone_number": "503-623-3903",
            "fax_number": "503-623-3803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLTON",
        "first_name": "CHARLES",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "1963",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "0206594",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Hill
• Kirk Russell Hillebrand, RN
• Robert J Hillstrom, D.O.
• Ann Janelle Holland, LMT
• Dena Michelle Hollman
• Gretel Elizabeth Honis, MD
• Hope for Change Counseling
• Jacob Carlisle Hostetter, CLINICAL COUNSELOR
• Kimberly Dawn Howard, QMHA
• Allyson Howarth, MSN, WHNP, MA, IBCLC

• Chiropractor in Dallas, OR
• Providers in Dallas, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.