Active NPI
Holli Ethel Banes, DC
- Chiropractor
- Murrieta, CA
National Provider Identifier
1801126966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC31660
- Practice address
- 29990 Hunter Rd Ste 101
Murrieta, CA 92563-2768 - Phone
- (951) 473-2281
- NPI assigned
- Jan 12, 2010
- Last updated
- Sep 7, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC31660 | CA | Primary |
| Rehabilitation Chiropractor | 111NR0400X | DC-31660 | CA |
Addresses
Primary practice location
29990 Hunter Rd Ste 101
Murrieta, CA 92563-2768
Mailing address
30434 Savoie St
Murrieta, CA 92563
Phone (918) 232-5889
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC31660 | CA | MD | Chiropractor |
| DC-31660 | CA | MD | Rehabilitation Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283817600000",
"number": "1801126966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30434 SAVOIE ST",
"city": "MURRIETA",
"state": "CA",
"postal_code": "92563",
"telephone_number": "918-232-5889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29990 HUNTER RD STE 101",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925632768",
"telephone_number": "951-473-2281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANES",
"first_name": "HOLLI",
"middle_name": "ETHEL",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-12",
"last_updated": "2010-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC31660",
"primary": true
},
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "CA",
"license": "DC-31660",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murrieta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.