NPIMap

Organization Active NPI

Holzbach Chiropractic, PLLC

Doing business as Victory Chiropractic

  • Chiropractor
  • Webster, TX
National Provider Identifier
1831439843
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11835 Issued in TX
Legal business name
HOLZBACH CHIROPRACTIC, PLLC
Doing business as
Victory Chiropractic
Practice address
20801 Gulf Fwy
Suite 20
Webster, TX 77598-6419
Phone
(281) 968-9080
Fax
(281) 968-0618
NPI assigned
Feb 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

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

Authorized official

Name
Dr. Jeremiah Le Holzbach, D.C.NPI 1578844353
Title
Owner/Chiropractor
Phone
(281) 968-9080

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 11835 TX Primary

Addresses

Primary practice location

20801 Gulf Fwy
Suite 20
Webster, TX 77598-6419

Mailing address

20801 Gulf Fwy
Suite 20
Webster, TX 77598-6419
Phone (281) 968-9080

Other names 1

  • Victory Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241021003534 TX Part B Supplier - Clinic/Group Practice 7416489000 Receives reassigned benefits from 3 practitioners
Practice locations: Webster, TX

National Provider Directory

National Provider Directory

Locations

330 Genesis Blvd
Ste B
Webster, TX 77598
Phone (281) 223-1696

Practitioners & affiliated clinicians

Practitioners 3

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": "1362009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362009600000",
    "number": "1831439843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20801 GULF FWY",
            "address_2": "SUITE 20",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775986419",
            "telephone_number": "281-968-9080",
            "fax_number": "281-968-0618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20801 GULF FWY",
            "address_2": "SUITE 20",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775986419",
            "telephone_number": "281-968-9080",
            "fax_number": "281-968-0618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLZBACH CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-28",
        "last_updated": "2013-02-28",
        "status": "A",
        "authorized_official_last_name": "HOLZBACH",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_middle_name": "LE",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "281-968-9080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Victory Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Webster, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; 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.