Individual provider Active NPI

Kurt Holoboff, DC

  • Chiropractor
  • Palm Beach Gardens, FL
National Provider Identifier
1548072010
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH15331 Issued in FL
Practice address
3335 Burns Rd Ste 200
Palm Beach Gardens, FL 33410-4311
Phone
(561) 578-4850
Fax
(561) 899-0394
NPI assigned
Jan 22, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 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 CH15331 FL Primary

Addresses

Primary practice location

3335 Burns Rd Ste 200
Palm Beach Gardens, FL 33410-4311

Mailing address

639 SE Harborview Dr
Port St Lucie, FL 34983-2703
Phone (561) 644-3254

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260602004345 FL Practitioner - Chiropractic 3274004098 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Kaiser Permanente School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Chiropractic Center for Wellness IncGroup PAC ID 9436250032, 11 clinicians

Practice addresses (Care Compare)

2246 Hwy 44 W
Inverness, FL 34453-3808
Phone (352) 897-5293

3155 Aerial Way
Brooksville, FL 34604-0629
Phone (352) 283-8388

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH15331FLMDChiropractor

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.

NPI Registry JSON

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

{
    "created_epoch": "1737504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1548072010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 SE HARBORVIEW DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349832703",
            "telephone_number": "561-644-3254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3335 BURNS RD STE 200",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104311",
            "telephone_number": "561-578-4850",
            "fax_number": "561-899-0394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLOBOFF",
        "first_name": "KURT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-22",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH15331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.