Individual provider Active NPI

Ronnie L Hold, DDS

  • General Practice Dentistry
  • Blue Ridge, GA
National Provider Identifier
1033288287
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11866 Issued in GA
Practice address
823 E Main St
Blue Ridge, GA 30513-4575
Phone
(706) 632-2085
NPI assigned
Nov 6, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11866 GA Primary

Addresses

Primary practice location

823 E Main St
Blue Ridge, GA 30513-4575

Mailing address

823 E Main St
Blue Ridge, GA 30513-4575
Phone (706) 632-2085

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20150924000288 GA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9032426028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11866GAMDGeneral Practice Dentistry
1186GAMDTransplant Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ronnie L Hold DDS PC General Practice Past Accepting new patients

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": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033288287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 E MAIN ST",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305134575",
            "telephone_number": "706-632-2085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 E MAIN ST",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305134575",
            "telephone_number": "706-632-2085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLD",
        "first_name": "RONNIE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "11866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ridge, GA

Sources for this page

Verify at the official NPI Registry.