Individual provider Active NPI

James Elgin Hollingsworth, D.C.

  • Chiropractor
  • Boise, ID
National Provider Identifier
1982792735
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
C-482 Issued in ID
Practice address
10451 W Garverdale CT
Ste. 203
Boise, ID 83704-5408
Phone
(208) 375-4415
Fax
(208) 375-4419
NPI assigned
Oct 10, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X C-482 ID Primary

Addresses

Primary practice location

10451 W Garverdale CT
Ste. 203
Boise, ID 83704-5408

Mailing address

10451 W Garverdale CT
Ste. 203
Boise, ID 83704-5408
Phone (208) 375-4415

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120111000069 ID Practitioner - Chiropractic 1355518549 Practice locations: Boise, ID

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1984
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10451 W Garverdale CT
Suite 203
Boise, ID 83704-5475
Phone (208) 375-4415

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C-482IDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
James E. Hollingsworth, D.C., CHTD. Chiropractor PastSince Jul 11, 1984 Accepting new patients

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, 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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982792735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10451 W GARVERDALE CT",
            "address_2": "STE. 203",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837045408",
            "telephone_number": "208-375-4415",
            "fax_number": "208-375-4419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10451 W GARVERDALE CT",
            "address_2": "STE. 203",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837045408",
            "telephone_number": "208-375-4415",
            "fax_number": "208-375-4419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLINGSWORTH",
        "first_name": "JAMES",
        "middle_name": "ELGIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "C-482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.