Active NPI
Paul a. Holmes, P.C.
- Chiropractor
- Odessa, TX
National Provider Identifier
1841371416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 8253
- Legal business name
- PAUL A. HOLMES, P.C.
- Practice address
- 1412 N Grandview Ave
Odessa, TX 79761-3140 - Phone
- (432) 366-5848
- Fax
- (432) 367-4167
- NPI assigned
- Oct 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Paul Anthony Holmes, DC
- Title
- Owner/Doctor
- Phone
- (432) 366-5848
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 8253 | TX | Primary |
Addresses
Primary practice location
1412 N Grandview Ave
Odessa, TX 79761-3140
Mailing address
1412 N Grandview Ave
Odessa, TX 79761-3140
Phone (432) 366-5848
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0020810-01 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1412 N Grandview Ave
Odessa, TX 79761
Phone (432) 366-5848
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Odessa, TX
- NPI 1316932692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1241654400000",
"number": "1841371416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1412 N GRANDVIEW AVE",
"city": "ODESSA",
"state": "TX",
"postal_code": "797613140",
"telephone_number": "432-366-5848",
"fax_number": "432-367-4167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1412 N GRANDVIEW AVE",
"city": "ODESSA",
"state": "TX",
"postal_code": "797613140",
"telephone_number": "432-366-5848",
"fax_number": "432-367-4167"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAUL A. HOLMES, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-18",
"last_updated": "2009-05-07",
"status": "A",
"authorized_official_last_name": "HOLMES",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "ANTHONY",
"authorized_official_title_or_position": "OWNER/DOCTOR",
"authorized_official_telephone_number": "432-366-5848",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "TX",
"license": "8253",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0020810-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Odessa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2009; 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.