HOLLY RIDGE CHIROPRACTIC & AUTO INJURY
NPI 1285000646
Chiropractor in Holly Ridge, NC

Active since August 19, 2015CLIA 34D1106177 · Waiver
119 HOLLY ST, HOLLY RIDGE, NC 28445(910) 329-4455 Get Directions Write a Review

NPPES record last updated: August 19, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Chiropractor
  • CLIA Number: 34D1106177
  • CLIA Cert. Type: Other
  • CLIA Exp. Date: 10-06-2027

About HOLLY RIDGE CHIROPRACTIC & AUTO INJURY

This page provides the complete NPI Profile along with additional information for Holly Ridge Chiropractic & Auto Injury, a provider established in Holly Ridge, North Carolina operating as a Chiropractor. The healthcare provider is registered in the NPI registry with number 1285000646 assigned on August 2015. The practitioner's primary taxonomy code is 111N00000X with license number 2621 (NC). The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is David John Taylor (Owner)

NPI
1285000646 Verify this NPI
Provider Name
HOLLY RIDGE CHIROPRACTIC & AUTO INJURY
Entity Type
Organization
Location Address
119 HOLLY ST HOLLY RIDGE, NC 28445
Location Phone
(910) 329-4455
Mailing Address
1201 GUM BRANCH RD JACKSONVILLE, NC 28540
Mailing Phone
(919) 455-6696
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-19-2015
Last Update Date
08-19-2015
Code Navigator

A chiropractor like Holly Ridge Chiropractic & Auto Injury helps patients with problems of the neuromusculoskeletal system, which includes nerves, bones, muscles, ligaments, and tendons. Chiropractors use spinal adjustments and manipulation, as well as other clinical interventions, to manage health issues such as back and neck pain. Some chiropractors apply procedures like massage therapy, rehabilitative exercise, ultrasound and spinal adjustments and manipulation. A chiropractor focuses on the patients overall health and might refer patients to other healthcare professionals if necessary.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Chiropractor

Taxonomy Code
111N00000X
Type
Chiropractic Providers
License No.
2621
License State
NC
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DAVID JOHN TAYLOR

Authorized Official Title
OWNER
Authorized Official Phone
(910) 329-4455

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
34D1106177
Facility Type
Other
Certificate Effective Date
October 07, 2025
Certificate Expiration Date
October 06, 2027
Laboratory Director
BRANDON LONGO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Holly Ridge Chiropractic & Auto Injury to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for HOLLY RIDGE CHIROPRACTIC & AUTO INJURY

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Family Medicine
119 HOLLY ST
HOLLY RIDGE, NC 28445
Physician Assistant
119 HOLLY ST
HOLLY RIDGE, NC 28445

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285000646, enumerated as an "organization" on August 19, 2015.

The provider is located at 119 HOLLY ST HOLLY RIDGE, NC 28445 and the phone number is (910) 329-4455.

Chiropractor with taxonomy code 111N00000X.