Individual provider Active NPI

Walter Clyde Holloway, DC

  • Chiropractor
  • Wilkesboro, NC
National Provider Identifier
1952480246
Registry record updated Feb 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
H736 Issued in NC
Practice address
1240 School Street
Wilkesboro, NC 28697
Phone
(336) 667-3323
Fax
(336) 667-8718
NPI assigned
Nov 6, 2006
Last updated
Feb 20, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X H736 NC Primary

Addresses

Primary practice location

1240 School Street
Wilkesboro, NC 28697

Mailing address

PO Box 380
1240 School Street
Wilkesboro, NC 28697
Phone (336) 667-3323

Other identifiers 1

IdentifierTypeStateIssuer
04897OtherBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
H736NCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Doreen Day Holloway,DC, P.a. Past Accepting new patients
Hans J Vanheule, DC PA Chiropractor Past Accepting new patients
Family Chiropractic PC Chiropractor PastSince Jul 25, 2021 Accepting new patients
Bailey Chiropractic Center Chiropractor Past Accepting new patients

Organizations & group practices 4

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": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329696000000",
    "number": "1952480246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 380",
            "address_2": "1240 SCHOOL STREET",
            "city": "WILKESBORO",
            "state": "NC",
            "postal_code": "28697",
            "telephone_number": "336-667-3323",
            "fax_number": "336-667-8718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 SCHOOL STREET",
            "city": "WILKESBORO",
            "state": "NC",
            "postal_code": "28697",
            "telephone_number": "336-667-3323",
            "fax_number": "336-667-8718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "WALTER",
        "middle_name": "CLYDE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2012-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "H736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "04897",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkesboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; 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.