Individual provider Active NPI

Justin Curtis Gronholz, D.C.

  • Chiropractor
  • Baxter, MN
National Provider Identifier
1245520659
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5481 Issued in MN
Practice address
15574 Edgewood Dr Ste 102
Baxter, MN 56401-6956
Phone
(218) 829-2665
Fax
(218) 829-4855
NPI assigned
Apr 19, 2011
Last updated
Jun 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5481 MN Primary

Addresses

Primary practice location

15574 Edgewood Dr Ste 102
Baxter, MN 56401-6956

Mailing address

15574 Edgewood Dr Ste 102
Baxter, MN 56401-6956
Phone (218) 829-2665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110505000493 MN Practitioner - Chiropractic 2163607250 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holbrook Family Chiropractic PLLCGroup PAC ID 4587691712, 5 clinicians

Practice addresses (Care Compare)

15574 Edgewood Dr
Suite 102
Baxter, MN 56401-6956
Phone (218) 829-2665

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5481MNMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Holbrook Family Chiropractic PLLC Chiropractor CurrentSince Jun 30, 2025 Accepting new patients

Locations

15574 Edgewood Dr
Ste 102
Brainerd, MN 56401
Phone (218) 829-2665

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1245520659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15574 EDGEWOOD DR STE 102",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564016956",
            "telephone_number": "218-829-2665",
            "fax_number": "218-829-4855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15574 EDGEWOOD DR STE 102",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564016956",
            "telephone_number": "218-829-2665",
            "fax_number": "218-829-4855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRONHOLZ",
        "first_name": "JUSTIN",
        "middle_name": "CURTIS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-19",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baxter, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; 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.