Organization Active NPI

Holland Chiropractic & Rehab, Inc

  • Chiropractor
  • Twin Falls, ID
National Provider Identifier
1992981021
Registry record updated Jan 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
C814 Issued in ID
Legal business name
HOLLAND CHIROPRACTIC & REHAB, INC
Practice address
2086 Addison Ave E
Twin Falls, ID 83301-5306
Phone
(208) 737-9397
Fax
(208) 737-9398
NPI assigned
Jan 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2008

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

Authorized official

Name
John Holland, D.C.
Title
President
Phone
(208) 737-9397

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X C814 ID Primary

Addresses

Primary practice location

2086 Addison Ave E
Twin Falls, ID 83301-5306

Mailing address

2086 Addison Ave E
Twin Falls, ID 83301-5306
Phone (208) 737-9397

Other identifiers 1

IdentifierTypeStateIssuer
C1674OtherIDBLUE CROSS OF IDAHO

National Provider Directory

National Provider Directory

Locations

2086 Addison Ave E
Twin Falls, ID 83301
Phone (208) 733-9697

NPI Registry JSON

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200614400000",
    "number": "1992981021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2086 ADDISON AVE E",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015306",
            "telephone_number": "208-737-9397",
            "fax_number": "208-737-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2086 ADDISON AVE E",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015306",
            "telephone_number": "208-737-9397",
            "fax_number": "208-737-9398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLAND CHIROPRACTIC & REHAB, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-18",
        "last_updated": "2008-01-18",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-737-9397",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "C814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "C1674",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; 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.