Active NPI
James D Holliday, DC
- Chiropractor
- North Charleston, SC
National Provider Identifier
1487714929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2560
- Practice address
- 1357 Remount Rd
Suite 6
North Charleston, SC 29406-3300 - Phone
- (843) 529-9709
- Fax
- (843) 529-9711
- NPI assigned
- Dec 12, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2560 | SC | Primary |
| Chiropractor | 111N00000X | X009894 | NY |
Addresses
Primary practice location
1357 Remount Rd
Suite 6
North Charleston, SC 29406-3300
Mailing address
1357 Remount Rd
Suite 6
North Charleston, SC 29406-3300
Phone (843) 529-9709
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CH2560 | Medicaid | SC | |
| X009894 | Other | NY | LICENSE NUMBER |
| 2560 | Other | SC | LICENSE NUMBER |
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 |
|---|---|---|---|
| X009894 | NY | MD | Chiropractor |
| 2560 | SC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199318400000",
"number": "1487714929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1357 REMOUNT RD",
"address_2": "SUITE 6",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294063300",
"telephone_number": "843-529-9709",
"fax_number": "843-529-9711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1357 REMOUNT RD",
"address_2": "SUITE 6",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294063300",
"telephone_number": "843-529-9709",
"fax_number": "843-529-9711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLIDAY",
"first_name": "JAMES",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-12",
"last_updated": "2008-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "2560",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X009894",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CH2560",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "X009894",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "2560",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.