Active NPI
Eleanor Holdnack, D.C.
- Chiropractor
- Clinton, MD
National Provider Identifier
1609207109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- S03822
- Practice address
- 9135 Piscataway Rd
Ste 305
Clinton, MD 20735-2549 - Phone
- (301) 877-2323
- Fax
- (301) 877-2366
- NPI assigned
- Dec 9, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 012451 | NY | |
| Chiropractor | 111N00000X | S03822 | MD | Primary |
| Chiropractor | 111N00000X | CH030147 | DC | |
| Chiropractor | 111N00000X | 0104557214 | VA |
Addresses
Primary practice location
9135 Piscataway Rd
Ste 305
Clinton, MD 20735-2549
Mailing address
5252 Lyngate CT
Ste 203
Burke, VA 22015-1672
Phone (703) 239-2300
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K949 - 0073 | Other | VA | CAREFIRST |
| 8825 - 0033 | Other | MD | CAREFIRST |
| K949 - 0073 | Other | DC | CAREFIRST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 2013
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
15001 Shady Grove Rd
Suite 140
Rockville, MD 20850-6354
Phone (703) 904-9666
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH030147 | DC | MD | Chiropractor |
| S03822 | MD | MD | Chiropractor |
| 012451 | NY | MD | Chiropractor |
| 0104557214 | VA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rxwellness Spine & Health - Rockville LLC | Chiropractor | Current | Accepting new patients |
| Alliance Rehab and Physical Therapy LLC | Past | Accepting new patients | |
| Marciniak Chiropractic PLLC | Chiropractor | Past | Accepting new patients |
| Hand Therapy Experts, LLC | Past | Accepting new patients |
Locations
15001 Shady Grove Rd
Ste 140
Rockville, MD 20850
Phone (240) 556-5721
Organizations & group practices 4
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.
-
- Physical Therapist
- Fairfax, VA
- NPI 1568840957
-
- Occupational Therapist
- Burke, VA
- NPI 1366860280
-
- Chiropractor
- Buffalo, NY
- NPI 1942610183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442966400000",
"number": "1609207109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5252 LYNGATE CT",
"address_2": "STE 203",
"city": "BURKE",
"state": "VA",
"postal_code": "220151672",
"telephone_number": "703-239-2300",
"fax_number": "703-239-2301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9135 PISCATAWAY RD",
"address_2": "STE 305",
"city": "CLINTON",
"state": "MD",
"postal_code": "207352549",
"telephone_number": "301-877-2323",
"fax_number": "301-877-2366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLDNACK",
"first_name": "ELEANOR",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-09",
"last_updated": "2015-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "012451",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MD",
"license": "S03822",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "DC",
"license": "CH030147",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104557214",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "K949 - 0073",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "8825 - 0033",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "K949 - 0073",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clinton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; 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.