Active NPI
Jeremiah Le Holzbach, D.C
- Chiropractor
- Webster, TX
National Provider Identifier
1578844353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 11835
- Practice address
- 330 Genesis Blvd Ste B
Webster, TX 77598-1638 - Phone
- (281) 724-1620
- Fax
- (281) 968-0618
- NPI assigned
- Sep 7, 2011
- 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 | 11835 | TX | Primary |
Addresses
Primary practice location
330 Genesis Blvd Ste B
Webster, TX 77598-1638
Mailing address
330 Genesis Blvd Ste B
Webster, TX 77598-1638
Phone (281) 724-1620
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2011
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
330 Genesis Blvd
Suite B
Webster, TX 77598-1638
Phone (281) 724-1620
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11835 | TX | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holzbach Chiropractic, PLLC | Chiropractor | Current | Accepting new patients |
Locations
330 Genesis Blvd
Ste B
Webster, TX 77598
Phone (281) 223-1696
20801 Gulf Fwy
Ste 20
Webster, TX 77598
Phone (281) 968-9080
Organizations & group practices 1
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.
-
- Chiropractor
- Webster, TX
- NPI 1831439843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637712000000",
"number": "1578844353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 GENESIS BLVD STE B",
"city": "WEBSTER",
"state": "TX",
"postal_code": "775981638",
"telephone_number": "281-724-1620",
"fax_number": "281-968-0618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 GENESIS BLVD STE B",
"city": "WEBSTER",
"state": "TX",
"postal_code": "775981638",
"telephone_number": "281-724-1620",
"fax_number": "281-968-0618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLZBACH",
"first_name": "JEREMIAH",
"middle_name": "LE",
"name_prefix": "Dr.",
"credential": "D.C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-07",
"last_updated": "2021-11-24",
"certification_date": "2021-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "11835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Webster, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; 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.