Individual provider Active NPI

Gregory Allen Hollandsworth, DC

  • Chiropractor
  • Schaumburg, IL
National Provider Identifier
1598077299
Registry record updated Aug 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.011795 Issued in IL
Practice address
957 N Plum Grove Rd
Suite a
Schaumburg, IL 60173-5194
Phone
(847) 605-8835
Fax
(847) 637-0331
NPI assigned
Jul 9, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.011795 IL Primary

Addresses

Primary practice location

957 N Plum Grove Rd
Suite a
Schaumburg, IL 60173-5194

Mailing address

957 N Plum Grove Rd
Suite a
Schaumburg, IL 60173-5194
Phone (847) 605-8835

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

LicenseStateTypeSpecialty
038.011795ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Functional Health Chiropractic, LLC Chiropractor Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314748800000",
    "number": "1598077299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "957 N PLUM GROVE RD",
            "address_2": "SUITE A",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601735194",
            "telephone_number": "847-605-8835",
            "fax_number": "847-637-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "957 N PLUM GROVE RD",
            "address_2": "SUITE A",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601735194",
            "telephone_number": "847-605-8835",
            "fax_number": "847-637-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLANDSWORTH",
        "first_name": "GREGORY",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-09",
        "last_updated": "2011-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.011795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.