Columbia Family Chiropractic, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

COLUMBIA FAMILY CHIROPRACTIC, PLLC

Practice address

1550 N Main St Ste a
Columbia, IL 62236-1070

Phone

(618) 281-6167

Fax

(618) 281-4444

NPI assigned

Jun 16, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Nathaniel C Holloway, DRNPI 1649714064

Title

Owner/Doctor

Phone

(618) 281-6167

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nathaniel Charles Holloway, D.C.

  • Chiropractor
  • Columbia, IL
  • NPI 1649714064
  Medicare reassignment NPD Authorized official
• Laurie Robert Mestdagh, DC

  • Chiropractor
  • Columbia, IL
  • NPI 1417006859
  NPD

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

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687132800000",
    "number": "1558046664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 N MAIN ST STE A",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "622361070",
            "telephone_number": "618-281-6167",
            "fax_number": "618-281-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 N MAIN ST STE A",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "622361070",
            "telephone_number": "618-281-6167",
            "fax_number": "618-281-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA FAMILY CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-16",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A",
        "authorized_official_last_name": "HOLLOWAY",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "618-281-6167",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DR"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Columbia Comm Unit SCH Dist 4
• Columbia Convalescent Center
• Columbia Dental Care LTD
• Columbia Dental Center LLC
• Columbia Doctors Group, SC
• Columbia Orthodontics
• Columbia Rehab Specialists, LLC
• Columbia Rehabilitation and Nursing Center, LLC
• Ashley Nicole Conway
• Adriana Juanita Corwin

• All providers in Columbia, IL
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.