Individual provider Active NPI

Matthew Holland, DC

  • Student in an Organized Health Care Education/Training Program
  • Overland Park, KS
National Provider Identifier
1861260952
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
13306 W 130TH St
Overland Park, KS 66213-2336
Phone
(913) 232-1575
NPI assigned
Dec 18, 2023
Last updated
Jan 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

13306 W 130TH St
Overland Park, KS 66213-2336

Mailing address

13306 W 130TH St
Overland Park, KS 66213-2336
Phone (913) 232-1575

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240708002257 MO Practitioner - Chiropractic 9638614233 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chiro One Wellness Center of Blue Springs LLCGroup PAC ID 0345613170, 2 clinicians

Practice addresses (Care Compare)

1118 NE Coronado Dr
Blue Springs, MO 64014-2944
Phone (816) 425-0888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chiro One Wellness Center of Blue Springs LLC CurrentSince Jun 1, 2024 Accepting new patients
Chiro One Wellness Center of Liberty LLC CurrentSince Mar 17, 2025 Accepting new patients

Locations

2625 Butterfield Rd
Ste 301N
Oak Brook, IL 60523
Phone (800) 613-0922

1114 NE Coronado Dr
Blue Springs, MO 64014
Phone (816) 425-0888

1118 NE Coronado Dr
Blue Springs, MO 64014
Phone (816) 425-0888

9040 NE Barry Rd
Kansas City, MO 64157
Phone (816) 368-8700

9040 NE Barry Rd
#One
Kansas City, MO 64157
Phone (816) 368-8700

Organizations & group practices 2

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": "1702857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1861260952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13306 W 130TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662132336",
            "telephone_number": "913-232-1575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13306 W 130TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662132336",
            "telephone_number": "913-232-1575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-18",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.