Jacob Kyle Holdren, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHR.0007359 Issued in CO

Practice address

209 S. Main Street
Holly, CO 81047

Phone

(719) 537-0200

NPI assigned

Jan 24, 2006

Last updated

Oct 21, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Regenerative Health and Wellness Medical Center LLC

  • Chiropractor
  • Holly, CO
  • NPI 1184085938
  Authorized official Same address or phone
• Auburn Hills Chiropractic, Inc.

  • Chiropractor
  • Wichita, KS
  • NPI 1770682759
  NPD (past) Authorized official
• Auburn Hills Chiropractic and Rehabilitation LLC

  • Clinic/Center
  • Wichita, KS
  • NPI 1063853059
  NPD (past)

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1639149594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 284",
            "city": "HOLLY",
            "state": "CO",
            "postal_code": "810470284",
            "telephone_number": "719-537-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 S. MAIN STREET",
            "city": "HOLLY",
            "state": "CO",
            "postal_code": "81047",
            "telephone_number": "719-537-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDREN",
        "first_name": "JACOB",
        "middle_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "04871",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0007359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda Christine Davis, COTA
• High Plains Community Health Center Incorporated (Holly High Plains Dispensary)
• High Plains Community Health Center Incorporated (High Plains Holly Clinic)
• Holly Care Center LLC (Holly Care Center)
• Holly Care Center LLC (Holly Care Center)
• Holly Fire & Ambulance District
• Holly Nursing Care Center, Inc (Holly Nursing Care Center)
• Holly Nursing Care Center, Inc.

• Chiropractor in Holly, CO
• Providers in Holly, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.