Terry Francis Holland, D.C. – Chiropractor

Key facts

NPI: 1962587550
Entity type: Individual (NPI type 1)
Primary specialty: Chiropractor 111N00000X
License: 12707 (CA)
Practice address: 14 Bryson Dr
Sutter Creek, CA 95685-4118
Phone: (209) 223-2307
Fax: (209) 267-5565
NPI assigned: Oct 25, 2006
Sex: Male
Sole proprietor: No

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.

Terry F Holland Professional Chiropractic Corporation Chiropractor · Sutter Creek, CA · NPI 1922312966

Medicare reassignment NPD Authorized official CA · CHIROPRACTOR

Medicare Care Compare profile

Specialty: Chiropractic
Education: Los Angeles College of Chiropractic, 1978
Medicare assignment: Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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

Medicare participation

Medicare fee-for-service enrollment: Enrolled in CA

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20120308000161	CA	Practitioner - Chiropractic	4082871256	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
12707	CA	MD	Acupuncturist

Practice roles

Organization	Specialty	Status	New patients
Terry F Holland Professional Chiropractic Corporation	Chiropractor	Current since Dec 31, 1979	Accepting new patients

Locations

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

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Chiropractor	111N00000X	12707	CA	Yes

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

Other identifiers

Identifier	Type	State	Issuer
3257712	Medicaid	CA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 15, 2011.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321315200000",
    "number": "1962587550",
    "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": {
        "last_name": "HOLLAND",
        "first_name": "TERRY",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2011-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "12707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3257712",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sutter Creek, CA

All providers in Sutter Creek, CA · Chiropractor in California

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2011. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (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.