Individual provider Active NPI

Holden Linn, DC

  • Chiropractor
  • Broussard, LA
National Provider Identifier
1740954122
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1931 Issued in LA
Practice address
805 Albertson Pkwy
Broussard, LA 70518-4350
Phone
(337) 324-3031
NPI assigned
Aug 9, 2021
Last updated
Aug 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1931 LA Primary

Addresses

Primary practice location

805 Albertson Pkwy
Broussard, LA 70518-4350

Mailing address

100 Pillette Rd
Lafayette, LA 70508-5014

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210816002902 LA Practitioner - Chiropractic 4587069422 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Rise Chiropractic, LLCGroup PAC ID 5395087845, 2 clinicians

Practice addresses (Care Compare)

805 Albertson Pkwy
Suite B
Broussard, LA 70518-4350

805 B Albertson Pkwy
Broussard, LA 70518-4350

817 Albertson Pkwy
Broussard, LA 70518-5261
Phone (337) 324-3031

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1931LAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rise Chiropractic, LLC Chiropractor CurrentSince Aug 9, 2021 Accepting new patients
Lourdes Physician Group LLC PastSince Aug 15, 2021 Accepting new patients

Locations

817 Albertson Pkwy
Ste N
Broussard, LA 70518
Phone (337) 324-3031

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1740954122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PILLETTE RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 ALBERTSON PKWY",
            "city": "BROUSSARD",
            "state": "LA",
            "postal_code": "705184350",
            "telephone_number": "337-324-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINN",
        "first_name": "HOLDEN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-09",
        "last_updated": "2021-08-09",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broussard, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; 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.