NPIMap

Organization Active NPI

Holliday Chiropractic Clinic

  • Chiropractor
  • Belle Vernon, PA
National Provider Identifier
1790942282
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC003253L Issued in PA
Legal business name
HOLLIDAY CHIROPRACTIC CLINIC
Practice address
500 Circle Dr
A Manown Professional Building
Belle Vernon, PA 15012-9680
Phone
(724) 929-8766
Fax
(724) 929-8767
NPI assigned
May 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Dr. Glen Edward Holliday, D.C.NPI 1255400917
Title
Owner
Phone
(724) 929-8766

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC003253L PA Primary

Addresses

Primary practice location

500 Circle Dr
A Manown Professional Building
Belle Vernon, PA 15012-9680

Mailing address

500 Circle Dr
A Manown Professional Building
Belle Vernon, PA 15012-9680
Phone (724) 929-8766

Other identifiers 3

IdentifierTypeStateIssuer
789620OtherPAHIGHMARK
5457054OtherPAAETNA
0013983480001MedicaidPA

National Provider Directory

National Provider Directory

Locations

500 Circle Dr
#A
Rostraver Township, PA 15012
Phone (724) 929-8766

Practitioners & affiliated clinicians

Practitioners 1

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": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1790942282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CIRCLE DR",
            "address_2": "A MANOWN PROFESSIONAL BUILDING",
            "city": "BELLE VERNON",
            "state": "PA",
            "postal_code": "150129680",
            "telephone_number": "724-929-8766",
            "fax_number": "724-929-8767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CIRCLE DR",
            "address_2": "A MANOWN PROFESSIONAL BUILDING",
            "city": "BELLE VERNON",
            "state": "PA",
            "postal_code": "150129680",
            "telephone_number": "724-929-8766",
            "fax_number": "724-929-8767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLIDAY CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "HOLLIDAY",
        "authorized_official_first_name": "GLEN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-929-8766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC003253L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "789620",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5457054",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0013983480001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belle Vernon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.