CHARLES E HOLTON, JR DC INC (NPI# 1063769214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063769214 |
| Entity Type | Organization |
| Organization Name | CHARLES E HOLTON, JR DC INC |
| Practice Address |
289 E Ellendale Ave Ste 102 Dallas OR 97338-1580 |
| Practice Telephone | 5036233903 |
| Practice Fax Number | 5036233803 |
| Mailing Telephone | 5036233903 |
| Mailing Fax Number | 5036233803 |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2015-09-11 |
| Authorized Official Name | MR. CHARLES E HOLTON (OWNER) |
| Authorized Official Telephone | 5036233903 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1963 | OR | Chiropractic Providers |
| Street Address |
289 E ELLENDALE AVE STE 102 |
| City | DALLAS |
| State | OR |
| Zip Code | 97338-1580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457396731 | Kasprzyk Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 289 E Ellendale Ave, Suite 402, Dallas, OR 97338-1580 | 2006-06-19 |
| 1194175935 | Benjamin James | Dentist | 289 E Ellendale Ave, Ste. 204, Dallas, OR 97338-1580 | 2016-06-13 |
| 1780006361 | Constance Jo Ervin | Massage Therapist | 289 E Ellendale Ave, Suite 102, Dallas, OR 97338-1580 | 2014-01-15 |
| 1811237951 | Deborah R Saxby | Clinic/Center | 289 E Ellendale Ave, Ste 202, Dallas, OR 97338-1580 | 2013-02-27 |
| 1013268762 | Ann Janelle Holland | Massage Therapist | 289 E Ellendale Ave, Suite 601, Dallas, OR 97338-1580 | 2012-09-20 |
| 1588910319 | Darrington Physical Therapy LLC | Physical Therapist | 289 E Ellendale Ave, Suite 101, Dallas, OR 97338-1580 | 2012-07-30 |
| 1518231638 | Gina Squires | Massage Therapist | 289 E Ellendale Ave, Suite 102, Dallas, OR 97338-1580 | 2012-03-07 |
| 1417226846 | Lyndsay Marie Posey | Acupuncturist | 289 E Ellendale Ave, Suite 601, Dallas, OR 97338-1580 | 2011-12-13 |
| 1043593320 | Deborah Ruth Saxby | Specialist | 289 E Ellendale Ave, Suite 202, Dallas, OR 97338-1580 | 2011-09-23 |
| 1235374877 | Kasprzyk Enterprises Inc | Pharmacy | 289 E Ellendale Ave, Suite 402, Dallas, OR 97338-1580 | 2008-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164932042 | Stephanie Marie Renfro | Massage Therapist | 289 E Ellendale Ave #601, Dallas, OR 97338 | 2017-10-05 |
| 1588185953 | Herbert Starr Woodward IIi | Dentist | 201 Se Washington St, Dallas, OR 97338 | 2017-07-06 |
| 1851708077 | David Mooso | Pharmacist | 321 Nw Kings Valley Highway, Dallas, OR 97338 | 2014-07-21 |
| 1841615556 | Leslie Lytle | Counselor | 1020 Sw Maple St., Dallas, OR 97338 | 2014-03-04 |
| 1205265493 | Chung-fan Ni | Counselor | 182 S. W. Academy St., Academy Building, Dallas, OR 97338 | 2013-11-07 |
| 1215204300 | Ron Fritz | Counselor | 239 E. Ellendale, Suite 602, Dallas, OR 97338 | 2011-11-17 |
| 1235420167 | Deborah Kennedy | Counselor | 527 Ne Fern Ave, Dallas, OR 97338 | 2011-04-26 |
| 1821229774 | Chelsea Ruhoff Lee | Physician Assistant | 1000 Se Uglow Avenue, Flaming Medical Center, Dallas, OR 97338 | 2009-07-27 |
| 1013128560 | Larry J Vuylsteke | Social Worker | 182 S.w. Academy, Dallas, OR 97338 | 2007-05-25 |
| 1093926123 | Justin W Reed | Counselor | Academy Building, 182 S.w. Academy St. Suite 304, Dallas, OR 97338 | 2007-05-24 |
| Find all providers in zip 97338 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442480 | Sydni Leigh Mcdonald-hughes | Chiropractor | 1152 N Buckner Blvd Ste 100b, Dallas, TX 75218-3435 | 2020-09-22 |
| 1093332157 | Musa S Hasan | Chiropractor | 9669 N Central Expy Ste 200, Dallas, TX 75231-5054 | 2020-07-06 |
| 1750905683 | James Jakes II | Chiropractor | 155 Parkhouse St # 103, Dallas, TX 75207-7211 | 2020-06-06 |
| 1386267052 | Demetris William Elia | Chiropractor | 7712 Royal Ln Apt C, Dallas, TX 75230-3704 | 2020-05-28 |
| 1093336547 | Michael Martinez | Chiropractor | 3619 Throckmorton St, Dallas, TX 75219-3743 | 2020-05-06 |
| 1588285746 | Sunghyun Kim | Chiropractor | 2000 Royal Ln Ste 105, Dallas, TX 75229-3881 | 2020-04-29 |
| 1164043451 | Tiffany Hall | Chiropractor | 4217 Swiss Ave Apt 326, Dallas, TX 75204-6683 | 2020-04-28 |
| 1689205635 | Dallas Federal Physical Therapy and Rehabilitation LLC | Chiropractor | 8204 Elmbrook Dr Ste 175, Dallas, TX 75247-7212 | 2020-01-29 |
| 1669018560 | Light Matters, LLC | Chiropractor | 4400 W University Blvd Apt 17206, Dallas, TX 75209-3702 | 2019-11-26 |
| 1063055721 | Dallas Chiropractic & Injury Center Inc | Chiropractor | 2351 W Northwest Hwy Ste 3105, Dallas, TX 75220-4453 | 2019-10-24 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.