Individual provider Active NPI

Doreen Madeleine Day Holloway

  • Chiropractor
  • Boone, NC
National Provider Identifier
1689850539
Registry record updated Mar 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3195 Issued in NC
Practice address
1064 Meadowview Dr Ste 8
Boone, NC 28607-4855
Phone
(828) 265-8300
NPI assigned
Jan 10, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 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 3195 NC Primary

Addresses

Primary practice location

1064 Meadowview Dr Ste 8
Boone, NC 28607-4855

Mailing address

1064 Meadowview Dr
Suite 8
Boone, NC 28607-4821
Phone (828) 265-8300

Other names 1

  • Mrs. Doreen Madeleine Day Holloway Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110628000587 NC Practitioner - Chiropractic 8628256302 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Canadian Memorial Chiropractic College, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1064 Meadowview Dr
Boone, NC 28607-4821

1064 Meadowview Dr
Suite 8
Boone, NC 28607-4855
Phone (828) 265-8300

Hospital & facility affiliations

  • Watauga Medical Center Hospital, Boone, NC, CCN 340051
  • Wilkes Regional Medical Center Hospital, North Wilkesboro, NC, CCN 340064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
3195NCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Doreen Day Holloway,DC, P.a. CurrentSince Mar 22, 2011 Accepting new patients

Locations

1064 Meadowview Dr
Ste 8
Boone, NC 28607
Phone (828) 265-8300

1216 School St
Ste A
Wilkesboro, NC 28697
Phone (336) 818-2261

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300838400000",
    "number": "1689850539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1064 MEADOWVIEW DR",
            "address_2": "SUITE 8",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286074821",
            "telephone_number": "828-265-8300",
            "fax_number": "336-667-8718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1064 MEADOWVIEW DR STE 8",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286074855",
            "telephone_number": "828-265-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "DOREEN",
        "middle_name": "MADELEINE DAY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-10",
        "last_updated": "2011-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOREEN",
            "last_name": "DAY HOLLOWAY",
            "middle_name": "MADELEINE",
            "prefix": "MRS.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Boone, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; 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.