Cody Ray Holt

Primary specialty

DentistTaxonomy code 122300000X

License

36823 Issued in TX

Practice address

9500 Independence Dr Ste 200
Anchorage, AK 99507-4617

Phone

(907) 349-4343

Fax

(907) 344-4963

NPI assigned

Nov 6, 2020

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21937/brand/1/csg/1/fhir/r4

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.

• Holt Family Dentistry

  • Dental Clinic/Center
  • Anchorage, AK
  • NPI 1144939935
  NPD Authorized official
• Robert L. Lerner D.D.S

  • Clinic/Center
  • Anchorage, AK
  • NPI 1447523774
  NPD (past)

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

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1023619921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 INDEPENDENCE DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995074686",
            "telephone_number": "907-349-4343",
            "fax_number": "907-344-4963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 INDEPENDENCE DR STE 200",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995074617",
            "telephone_number": "907-349-4343",
            "fax_number": "907-344-4963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "CODY",
        "middle_name": "RAY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-06",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "36823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Ann Thiessen Holsopple, M.D.
• Holt Family Dentistry
• Angela A Holt
• Ashtyn Holt
• Catherine Holt, MSCP, LPC
• Robert Holt Jr., D.D.S.
• Holy Family Assisted Living Home I
• Holy Family Assisted Living Home II
• Holy Family Assisted Living Home III
• Home Away From Home Anchorage LLC

• Dentist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Dentist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.