Organization Active NPI

Holtby Chiropractic Center

  • Chiropractor
  • Redmond, OR
National Provider Identifier
1780761049
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
271763 Issued in OR
Legal business name
HOLTBY CHIROPRACTIC CENTER
Practice address
725 NW Kingwood Ave
Redmond, OR 97756-1349
Phone
(541) 550-7751
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Allen Dayton Harrison, D.C.
Title
Chirpractor
Phone
(541) 923-0444

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 271763 OR Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 713677 OR

Addresses

Primary practice location

725 NW Kingwood Ave
Redmond, OR 97756-1349

Mailing address

725 NW Kingwood Ave
Redmond, OR 97756-1349
Phone (541) 550-7751

National Provider Directory

National Provider Directory

Locations

725 NW Kingwood Ave
Redmond, OR 97756
Phone (541) 550-7751

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780761049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 NW KINGWOOD AVE",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977561349",
            "telephone_number": "541-550-7751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 NW KINGWOOD AVE",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977561349",
            "telephone_number": "541-550-7751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLTBY CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "DAYTON",
        "authorized_official_title_or_position": "CHIRPRACTOR",
        "authorized_official_telephone_number": "541-923-0444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "271763",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "713677",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.