Active NPI
Freeman J. Holland Jr., D.C.
- Neurology Chiropractor
- Wheat Ridge, CO
National Provider Identifier
1740202563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Chiropractor
- License
- 1491
- Practice address
- 6295 W 38TH Ave
Wheat Ridge, CO 80033-5055 - Phone
- (303) 422-7767
- Fax
- (303) 421-8359
- NPI assigned
- Jul 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | 1491 | CO | Primary |
Addresses
Primary practice location
6295 W 38TH Ave
Wheat Ridge, CO 80033-5055
Mailing address
6295 W 38TH Ave
Wheat Ridge, CO 80033-5055
Phone (303) 422-7767
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08149106 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120427000278 | CO | Practitioner - Chiropractic | 8820250467 | Practice locations: Wheat Ridge, CO |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1979
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
6295 W 38TH Ave
Wheat Ridge, CO 80033-5055
Phone (303) 422-7767
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1491 | CO | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349049600000",
"number": "1740202563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6295 W 38TH AVE",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800335055",
"telephone_number": "303-422-7767",
"fax_number": "303-421-8359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6295 W 38TH AVE",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800335055",
"telephone_number": "303-422-7767",
"fax_number": "303-421-8359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLAND",
"first_name": "FREEMAN",
"middle_name": "J.",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2012-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "CO",
"license": "1491",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08149106",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wheat Ridge, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; 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.