Jennifer S. Holt, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN15495 Issued in FL

Practice address

285 South Central Ave.
Umatilla, FL 32784

Phone

(352) 669-3185

Fax

(352) 669-1051

NPI assigned

Aug 7, 2006

Last updated

Feb 16, 2016By the provider in NPPES

Sex

Female

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 FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455580800000",
    "number": "1023027885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 E ORANGE AVE",
            "address_2": "285 SOUTH CENTRAL AVE.",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327264162",
            "telephone_number": "352-669-3185",
            "fax_number": "352-669-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 SOUTH CENTRAL AVE.",
            "city": "UMATILLA",
            "state": "FL",
            "postal_code": "32784",
            "telephone_number": "352-669-3185",
            "fax_number": "352-669-1051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "JENNIFER",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2016-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN15495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steffany Griswold
• Hanna Guttentag
• Jason Antoine Harris, LMHC
• Dixon Alan Hays, DMD
• Sara Hernandez
• Hometown Umatilla LLC (Umatilla Drug Store)
• Kennith F Kovarnik, RMHI
• Lake Smith Shores, LLC
• Scott Edward Ledford, LMHC INTERN
• David Scott Levy, PA

• General Practice Dentistry in Umatilla, FL
• Providers in Umatilla, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.