Individual provider Active NPI

Matthew John Holman, D.C

  • Chiropractor
  • Leawood, KS
National Provider Identifier
1487159257
Registry record updated Mar 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-05887 Issued in KS
Practice address
4707 College Blvd Ste 106
Leawood, KS 66211-1679
Phone
(913) 735-5717
NPI assigned
Mar 26, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 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 01-05887 KS Primary

Addresses

Primary practice location

4707 College Blvd Ste 106
Leawood, KS 66211-1679

Mailing address

4707 College Blvd Ste 106
Leawood, KS 66211-1679
Phone (913) 735-5717

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230815002226 MO Practitioner - Chiropractic 2163884610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8604 63Rd St
Kansas City, MO 64133-4725

8604 E 63Rd St
Kansas City, MO 64133-4725

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01-05887KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Foundation First Chiropractic and Acupuncture Chiropractor CurrentSince May 5, 2025 Accepting new patients
Arckcmo LLC Chiropractor CurrentSince Jun 24, 2023 Accepting new patients
Franz Chiropractic LLC Chiropractor PastSince Jun 24, 2023 Accepting new patients

Locations

8604 E 63rd St
Kansas City, MO 64133
Phone (913) 308-0403

4609 Paseo Blvd
Ste 100
Kansas City, MO 64110
Phone (785) 408-9952

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522022400000",
    "number": "1487159257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4707 COLLEGE BLVD STE 106",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111679",
            "telephone_number": "913-735-5717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4707 COLLEGE BLVD STE 106",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111679",
            "telephone_number": "913-735-5717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMAN",
        "first_name": "MATTHEW",
        "middle_name": "JOHN",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-26",
        "last_updated": "2018-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2018; 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.