Individual provider Active NPI

Ethan Hunter Holm, DC

  • Chiropractor
  • Birmingham, AL
National Provider Identifier
1679431167
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2945 Issued in AL
Practice address
203 Narrows Pkwy Ste a
Birmingham, AL 35242-8649
Phone
(205) 419-1595
NPI assigned
Jan 13, 2026
Last updated
Feb 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7389 MN
Chiropractor 111N00000X 2945 AL Primary

Addresses

Primary practice location

203 Narrows Pkwy Ste a
Birmingham, AL 35242-8649

Mailing address

203 Narrows Pkwy Ste a
Birmingham, AL 35242-8649
Phone (763) 482-3774

Other practice location 1

8112 County Road 23 SE
Becker, MN 55308-4800
Phone (763) 482-3774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260323000399 AL Practitioner - Chiropractic 2860976487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

203 Narrows Pkwy
Suite a
Birmingham, AL 35242-8649

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7389MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Functional Athletic Rehabilitation & Movement CurrentSince Mar 2, 2026 Accepting new patients

Locations

203 Narrows Pkwy
Ste A
Birmingham, AL 35242
Phone (205) 419-1595

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1768262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1679431167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 NARROWS PKWY STE A",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352428649",
            "telephone_number": "763-482-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 NARROWS PKWY STE A",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352428649",
            "telephone_number": "205-419-1595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8112 County Road 23 SE",
            "address_purpose": "LOCATION",
            "city": "Becker",
            "state": "MN",
            "postal_code": "553084800",
            "country_code": "US",
            "telephone_number": "763-482-3774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLM",
        "first_name": "ETHAN",
        "middle_name": "HUNTER",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-01-13",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "7389",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; 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.

Verify at the official NPI Registry.