NPIMap

Organization Active NPI

Holden Family Chiropractic Clinic, P. a.

  • Chiropractor
  • Russellville, AR
National Provider Identifier
1770634875
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1485 Issued in AR
Legal business name
HOLDEN FAMILY CHIROPRACTIC CLINIC, P. A.
Practice address
109 S Laredo Ave
Russellville, AR 72801-4853
Phone
(479) 968-3338
Fax
(479) 890-6469
NPI assigned
Jan 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Les M. Holden, DC
Title
President
Phone
(479) 968-3338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1485 AR Primary

Addresses

Primary practice location

109 S Laredo Ave
Russellville, AR 72801-4853

Mailing address

109 S Laredo Ave
Russellville, AR 72801-4853
Phone (479) 968-3338

Other identifiers 1

IdentifierTypeStateIssuer
5U105OtherARBCBS

National Provider Directory

National Provider Directory

Locations

109 S Laredo Ave
Russellville, AR 72801
Phone (479) 280-8113

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1770634875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 S LAREDO AVE",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728014853",
            "telephone_number": "479-968-3338",
            "fax_number": "479-890-6469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 S LAREDO AVE",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728014853",
            "telephone_number": "479-968-3338",
            "fax_number": "479-890-6469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLDEN FAMILY CHIROPRACTIC CLINIC, P. A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "HOLDEN",
        "authorized_official_first_name": "LES",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-968-3338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5U105",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Russellville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.