Active NPI
Adam Bernard Holen, D.C.
- Chiropractor
- Eagle, CO
National Provider Identifier
1497298467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHR0007314
- Practice address
- 77 Gambel St # B
Eagle, CO 81631-5957 - Phone
- (970) 328-2884
- Fax
- (970) 328-2884
- NPI assigned
- Nov 23, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHR0007314 | CO | Primary |
Addresses
Primary practice location
77 Gambel St # B
Eagle, CO 81631-5957
Mailing address
PO Box 1316
Vail, CO 81658-1316
Phone (303) 909-7142
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 |
|---|---|---|---|
| CHR0007314 | CO | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597017600000",
"number": "1497298467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1316",
"city": "VAIL",
"state": "CO",
"postal_code": "816581316",
"telephone_number": "303-909-7142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 GAMBEL ST # B",
"city": "EAGLE",
"state": "CO",
"postal_code": "816315957",
"telephone_number": "970-328-2884",
"fax_number": "970-328-2884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLEN",
"first_name": "ADAM",
"middle_name": "BERNARD",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-11-23",
"last_updated": "2020-08-10",
"certification_date": "2020-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "CHR0007314",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eagle, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.