Organization Active NPI

Holliday Chiropractic Center LLC

  • Chiropractor
  • North Charleston, SC
National Provider Identifier
1710188164
Registry record updated Dec 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2560 Issued in SC
Legal business name
HOLLIDAY CHIROPRACTIC CENTER LLC
Practice address
1357 Remount Rd
Suite 6
North Charleston, SC 29406-3300
Phone
(843) 529-9709
Fax
(843) 529-9711
NPI assigned
May 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2007

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

Authorized official

Name
Dr. James Dean Holliday, DC
Title
Chiropractor
Phone
(843) 529-9709

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2560 SC Primary

Addresses

Primary practice location

1357 Remount Rd
Suite 6
North Charleston, SC 29406-3300

Mailing address

1357 Remount Rd
Suite 6
North Charleston, SC 29406-3300
Phone (843) 529-9709

Other identifiers 1

IdentifierTypeStateIssuer
CH2560MedicaidSC

National Provider Directory

National Provider Directory

Locations

6278 Highway 162
#C
Hollywood, SC 29449
Phone (843) 889-1974

1357 Remount Rd
Ste 6
North Charleston, SC 29406
Phone (843) 529-9709

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198627200000",
    "number": "1710188164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1357 REMOUNT RD",
            "address_2": "SUITE 6",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294063300",
            "telephone_number": "843-529-9709",
            "fax_number": "843-529-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1357 REMOUNT RD",
            "address_2": "SUITE 6",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294063300",
            "telephone_number": "843-529-9709",
            "fax_number": "843-529-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLIDAY CHIROPRACTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2007-12-26",
        "status": "A",
        "authorized_official_last_name": "HOLLIDAY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "843-529-9709",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH2560",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; 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.