Active NPI
Garrett Holland
- Chiropractor
- Destin, FL
National Provider Identifier
1083468854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 14914
- Practice address
- 4641 Gulfstarr Dr Ste 104
Destin, FL 32541-3776 - Phone
- (850) 420-4590
- NPI assigned
- Apr 16, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 14914 | FL | Primary |
Addresses
Primary practice location
4641 Gulfstarr Dr Ste 104
Destin, FL 32541-3776
Mailing address
4641 Gulfstarr Dr Ste 104
Destin, FL 32541-3776
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14914 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holland Spine and Sport LLC | Chiropractor | Current | Accepting new patients |
Locations
4641 Gulfstarr Dr
Ste 104
Destin, FL 32541
Phone (850) 420-4590
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 and National Provider Directory roles.
-
- Chiropractor
- Destin, FL
- NPI 1710872627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713225600000",
"number": "1083468854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4641 GULFSTARR DR STE 104",
"city": "DESTIN",
"state": "FL",
"postal_code": "325413776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4641 GULFSTARR DR STE 104",
"city": "DESTIN",
"state": "FL",
"postal_code": "325413776",
"telephone_number": "850-420-4590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLAND",
"first_name": "GARRETT",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-04-16",
"last_updated": "2024-04-16",
"certification_date": "2024-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "14914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Destin, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.