Organization Active NPI

Holly Chiropractic Center and Sports Rehab LLC

  • Rehabilitation Chiropractor
  • Sterling, CO
National Provider Identifier
1902211022
Registry record updated Jun 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
20141366771 Issued in CO
Legal business name
HOLLY CHIROPRACTIC CENTER AND SPORTS REHAB LLC
Practice address
709 Holly Dr
Sterling, CO 80751-4541
Phone
(970) 522-3500
Fax
(970) 522-3509
NPI assigned
Jun 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2014

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

Authorized official

Name
Dr. Sheila Sue Decker, D.C.
Title
Chiropractor
Phone
(970) 522-3500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X 20141366771 CO Primary

Addresses

Primary practice location

709 Holly Dr
Sterling, CO 80751-4541

Mailing address

709 Holly Dr
Sterling, CO 80751-4541
Phone (970) 522-3500

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1403740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403740800000",
    "number": "1902211022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 HOLLY DR",
            "city": "STERLING",
            "state": "CO",
            "postal_code": "807514541",
            "telephone_number": "970-522-3500",
            "fax_number": "970-522-3509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 HOLLY DR",
            "city": "STERLING",
            "state": "CO",
            "postal_code": "807514541",
            "telephone_number": "970-522-3500",
            "fax_number": "970-522-3509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLY CHIROPRACTIC CENTER AND SPORTS REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-26",
        "last_updated": "2014-06-26",
        "status": "A",
        "authorized_official_last_name": "DECKER",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "970-522-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CO",
            "license": "20141366771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; 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.