Holcomb Chiropractic LLC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

1729 Issued in NE

Legal business name

HOLCOMB CHIROPRACTIC LLC

Practice address

6918 Maple St
Omaha, NE 68104-3839

Phone

(402) 571-3039

NPI assigned

Jun 22, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Charles J. Holcomb, D.C.NPI 1306192331

Title

Owner/Doctor

Phone

(402) 571-3039

Specialties & licenses 1

Addresses

Other names 1

• Koenig Chiropractic Former legal business name

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

Practitioners 1

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

• Charles Joseph Holcomb, D.C.

  • Sports Physician Chiropractor
  • Omaha, NE
  • NPI 1306192331
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434931200000",
    "number": "1801278247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6918 MAPLE ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681043839",
            "telephone_number": "402-571-3039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6918 MAPLE ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681043839",
            "telephone_number": "402-571-3039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLCOMB CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-22",
        "last_updated": "2015-06-22",
        "status": "A",
        "authorized_official_last_name": "HOLCOMB",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "402-571-3039",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "NE",
            "license": "1729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Koenig Chiropractic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Anntwanette Holbert
• Ella Maeve Holbert, PA
• Lashonda O Holbert
• Timica Lynn Holbert
• Jacob Holbrook
• Heidi Anne Marie Holcomb Rankin, RN BSN
• Andrew Holcomb, MD
• Brian Anthony Holcomb
• Bruce Holcomb, MD
• Charles Joseph Holcomb, D.C.

• Sports Physician Chiropractor in Omaha, NE
• Providers in Omaha, NE by specialty
• Sports Physician Chiropractor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.