Individual provider Active NPI

John Taylor Holland, D.C.

  • Chiropractor
  • La Habra, CA
National Provider Identifier
1881019198
Registry record updated Feb 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
32841 Issued in CA
Practice address
355 S Harbor Blvd
La Habra, CA 90631-5643
Phone
(562) 694-8347
NPI assigned
Feb 24, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 32841 CA Primary

Addresses

Primary practice location

355 S Harbor Blvd
La Habra, CA 90631-5643

Mailing address

355 S Harbor Blvd
La Habra, CA 90631-5643
Phone (562) 694-8347

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140528000258 CA Practitioner - Chiropractic 6608099395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holland Chiropractic Inc.Group PAC ID 0143262667, 3 clinicians

Practice addresses (Care Compare)

355 S Harbor Blvd
La Habra, CA 90631-5643
Phone (562) 694-8347

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32841CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Holland Chiropractic Inc. CurrentSince Feb 24, 2014 Accepting new patients

Locations

355 S Harbor Blvd
La Habra, CA 90631
Phone (562) 694-8347

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1393200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393200000000",
    "number": "1881019198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 S HARBOR BLVD",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906315643",
            "telephone_number": "562-694-8347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 S HARBOR BLVD",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906315643",
            "telephone_number": "562-694-8347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "JOHN",
        "middle_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-24",
        "last_updated": "2014-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Habra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; 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.