NPIMap

Organization Active NPI

Brian R. Holt, DDS PA

Doing business as Cabot Dental Group

  • General Practice Dentistry
  • Cabot, AR
National Provider Identifier
1063525939
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3143 Issued in AR
Legal business name
BRIAN R. HOLT, DDS PA
Doing business as
Cabot Dental Group
Practice address
108 S 10TH St
Cabot, AR 72023-2820
Phone
(501) 843-7726
Fax
(501) 843-3561
NPI assigned
Aug 16, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Brain R. Holt, DDS
Title
Owner/President
Phone
(501) 843-7726

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3143 AR Primary

Addresses

Primary practice location

108 S 10TH St
Cabot, AR 72023-2820

Mailing address

108 S 10TH St
Cabot, AR 72023-2820
Phone (501) 843-7726

Other identifiers 2

IdentifierTypeStateIssuer
1458718OtherARUCCI
5T017OtherARBLUE CROSS BLUE SHIELD

Other names 1

  • Cabot Dental Group Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063525939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 S 10TH ST",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720232820",
            "telephone_number": "501-843-7726",
            "fax_number": "501-843-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 S 10TH ST",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720232820",
            "telephone_number": "501-843-7726",
            "fax_number": "501-843-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN R. HOLT, DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "BRAIN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "501-843-7726",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCCI",
            "identifier": "1458718",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5T017",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cabot Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cabot, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.