NPIMap

Individual provider Active NPI

Steven Wayne Holloway, DC

  • Chiropractor
  • Hilltop, MN
National Provider Identifier
1811056815
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4181 Issued in MN
Practice address
4550 Central Ave NE
Lot 1527
Hilltop, MN 55421-2482
Phone
(763) 571-7520
NPI assigned
Dec 6, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4181 MN Primary
Chiropractor 111N00000X A06009 IA
Chiropractor 111N00000X 3370 WI

Addresses

Primary practice location

4550 Central Ave NE
Lot 1527
Hilltop, MN 55421-2482

Mailing address

4550 Central Ave NE
Lot 1527
Hilltop, MN 55421-2482
Phone (763) 571-7520

Other identifiers 1

IdentifierTypeStateIssuer
003261OtherMNPROVIDER #

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

LicenseStateTypeSpecialty
A06009IAMDChiropractor
3370WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Joy Chiropractic Chiropractor Past Accepting new patients
Chippewa Falls Chiropractic, S.C. Chiropractor Past Accepting new patients
Arvold Chiropractic Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1811056815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 CENTRAL AVE NE",
            "address_2": "LOT 1527",
            "city": "HILLTOP",
            "state": "MN",
            "postal_code": "554212482",
            "telephone_number": "763-571-7520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 CENTRAL AVE NE",
            "address_2": "LOT 1527",
            "city": "HILLTOP",
            "state": "MN",
            "postal_code": "554212482",
            "telephone_number": "763-571-7520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "STEVEN",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4181",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A06009",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3370",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER #",
            "identifier": "003261",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilltop, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.