NPIMap

Organization Active NPI

Holdahl Family Chiropractic PS

  • Chiropractor
  • Fruita, CO
National Provider Identifier
1740451822
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0034287 Issued in WA
Legal business name
HOLDAHL FAMILY CHIROPRACTIC PS
Practice address
316 Highway 6 and 50 Ste B
Fruita, CO 81521-2642
Phone
(970) 858-0544
Fax
(970) 858-7749
NPI assigned
Mar 17, 2008
Last updated
Mar 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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

Authorized official

Name
Jason Holdahl, DCNPI 1922126671
Title
President
Phone
(360) 225-1200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH0034287 WA Primary

Addresses

Primary practice location

316 Highway 6 and 50 Ste B
Fruita, CO 81521-2642

Mailing address

1227 N Goerig St Ste H
Woodland, WA 98674-9741
Phone (360) 225-1200

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1740451822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 N GOERIG ST STE H",
            "city": "WOODLAND",
            "state": "WA",
            "postal_code": "986749741",
            "telephone_number": "360-225-1200",
            "fax_number": "360-225-1266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 HIGHWAY 6 AND 50 STE B",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "815212642",
            "telephone_number": "970-858-0544",
            "fax_number": "970-858-7749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLDAHL FAMILY CHIROPRACTIC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "HOLDAHL",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-225-1200",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH0034287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fruita, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; 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.