Jon Clark Holt, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3228 Issued in SC

Practice address

1151 Robert Grissom Parkway
Myrtle Beach, SC 29579

Phone

(843) 839-5588

Fax

(849) 839-5591

NPI assigned

Jan 31, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spine Pain Center West AshleyGroup PAC ID 9638510332, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Spine Pain Center West Ashley

  • Chiropractor
  • Mount Pleasant, SC
  • NPI 1881338671
  Medicare reassignment Care Compare group NPD
• Advanced Medical Solution 1 LLC

  • Physical Medicine & Rehabilitation Physician
  • Myrtle Beach, SC
  • NPI 1174188502

  Chiropractor

  Medicare reassignment NPD
• Grand Strand Health and Wellness, LLC

  • Chiropractor
  • Murrells Inlet, SC
  • NPI 1952581910
  Medicare reassignment NPD
• Life Line Chiropractic

  • Sports Physician Chiropractor
  • Myrtle Beach, SC
  • NPI 1649331380
  NPD (past)
• Palmetto Wellness and Injury Center of Marion County

  • Chiropractor
  • Marion, SC
  • NPI 1033583133
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083751622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 ROBERT GRISSOM PARKWAY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "29579",
            "telephone_number": "843-839-5588",
            "fax_number": "849-839-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 ROBERT GRISSOM PARKWAY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "29579",
            "telephone_number": "843-839-5588",
            "fax_number": "849-839-5591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "JON",
        "middle_name": "CLARK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Paul Holbrook, PA
• Holistic Haven
• Dustin B Holladay, DMD
• Ashley Gabrielle Holston, NP
• Devon Elizabeth Holt, AUD
• Lawrence B Holt Jr., MD FACP
• Joey James Holzer, MD
• Home Care Helpers USA LLC
• Home Care Services of Myrtle Beach
• Home Medical Systems Inc

• Chiropractor in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Chiropractor in South Carolina

• 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.