Active NPI
Walter Clyde Holloway, DC
- Chiropractor
- Wilkesboro, NC
National Provider Identifier
1952480246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- H736
- 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, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04897 | Other | BCBS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| H736 | NC | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New 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 | Past | 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.
-
- Chiropractor
- Boone, NC
- NPI 1750897484
-
- Clinic/Center
- Boone, NC
- NPI 1275839946
-
- Chiropractor
- Wilkesboro, NC
- NPI 1689058554
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
- Healing Tree Counseling Center
- Health Services Unlimited
- Grace Lee Henninger, MD
- William Robert Henrick, M.D
- Holistic Medical Clinic of the Carolinas LLC
- Zil E Huma
- Instride Foot and Ankle Specialists, PLLC
- Jodi Province Counseling Services PLLC
- Julie Kay Johnson, LCSWA
- Jonathan Liner DDS (Southern Dental)
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.