Nicholas Joseph Hollendonner, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5326-12 Issued in WI

Practice address

6123 Green Bay Rd Ste 140
Kenosha, WI 53142-2927

Phone

(262) 653-9208

Fax

(262) 653-9208

NPI assigned

Jan 12, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sports and Family Chiropractic LLCGroup PAC ID 6103006986, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sports & Family Chiropractic LLC

  • Chiropractor
  • Kenosha, WI
  • NPI 1578889242
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1515715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515715200000",
    "number": "1962910968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 108TH PL",
            "city": "PLEASANT PRAIRIE",
            "state": "WI",
            "postal_code": "531584110",
            "telephone_number": "262-909-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6123 GREEN BAY RD STE 140",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531422927",
            "telephone_number": "262-653-9208",
            "fax_number": "262-653-9208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLENDONNER",
        "first_name": "NICHOLAS",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-12",
        "last_updated": "2018-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5326-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christelle Carol Holder
• Ronald R Holder, PSY.D., LPC-S
• Jessica L Holland, CRNA
• Stephanie Lynn Holland, COTA
• Gladys Emmanuelle Hollant, M.D.
• Ryan James Holmbeck, D.P.M.
• Anjuli Dominique Holmes
• Erin K Holtz, MSN, APNP, NNP-BC
• Gary D. Homeier, AG-APNP-BC PMC-ED
• Gia Hong

• Chiropractor in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (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.