Jeremy David Overholt, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6019 Issued in CO

Practice address

1103 Oak Park Dr
Fort Collins, CO 80525-6273

Phone

(970) 226-1400

NPI assigned

Feb 5, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Active Health Chiropractic Inc

  • Chiropractor
  • Fort Collins, CO
  • NPI 1629191911
  NPD (past)

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236124800000",
    "number": "1740329911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 UNITY CT",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805286362",
            "telephone_number": "970-689-3066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 OAK PARK DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805256273",
            "telephone_number": "970-226-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERHOLT",
        "first_name": "JEREMY",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2009-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Our Village Counseling
• Our Village Counseling
• Overall Speech Therapy LLC
• Overcomers Counseling
• Bonnie Overholser, PA-C
• Jared Overman
• Jared L Overman, DPM
• Amy Louise Overton, CSW
• Thomas F. Overton, DDS
• Wyatt Overton, LPCC

• Chiropractor in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; 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.