Organization Active NPI

Terry F Holland Professional Chiropractic Corporation

  • Chiropractor
  • Sutter Creek, CA
National Provider Identifier
1922312966
Registry record updated Aug 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 12707 Issued in CA
Legal business name
TERRY F HOLLAND PROFESSIONAL CHIROPRACTIC CORPORATION
Practice address
14 Bryson Dr
Sutter Creek, CA 95685-4118
Phone
(209) 223-2307
Fax
(209) 267-5565
NPI assigned
Aug 2, 2010
Last updated
Aug 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2010

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

Authorized official

Name
Dr. Terry F Holland, DCNPI 1962587550
Title
President
Phone
(209) 223-2307

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 DC 12707 CA Primary

Addresses

Primary practice location

14 Bryson Dr
Sutter Creek, CA 95685-4118

Mailing address

14 Bryson Dr
Sutter Creek, CA 95685-4118
Phone (209) 223-2307

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120131000756 CA Part B Supplier - Clinic/Group Practice 5092972257 Receives reassigned benefits from 1 practitioner
Practice locations: Sutter Creek, CA

National Provider Directory

National Provider Directory

Locations

14 Bryson Dr
Sutter Creek, CA 95685
Phone (209) 223-2307

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1280707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280707200000",
    "number": "1922312966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 BRYSON DR",
            "city": "SUTTER CREEK",
            "state": "CA",
            "postal_code": "956854118",
            "telephone_number": "209-223-2307",
            "fax_number": "209-267-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 BRYSON DR",
            "city": "SUTTER CREEK",
            "state": "CA",
            "postal_code": "956854118",
            "telephone_number": "209-223-2307",
            "fax_number": "209-267-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY F HOLLAND PROFESSIONAL CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-02",
        "last_updated": "2010-08-02",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-223-2307",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 12707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sutter Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; 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.