NPIMap

Organization Active NPI

Jason Holtman DDS LLC

  • Dentist
  • Bend, OR
National Provider Identifier
1104614650
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
JASON HOLTMAN DDS LLC
Practice address
965 SW Emkay Dr Ste 100
Bend, OR 97702-3598
Phone
(919) 264-8368
NPI assigned
Apr 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Authorized official

Name
Dr. Jason Holtman, DDSNPI 1649809583
Title
Dentist
Phone
(919) 264-8368

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

965 SW Emkay Dr Ste 100
Bend, OR 97702-3598

Mailing address

77 NW McKay Ave
Bend, OR 97703-2523
Phone (919) 264-8368

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1745539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745539200000",
    "number": "1104614650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 NW MCKAY AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032523",
            "telephone_number": "919-264-8368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 SW EMKAY DR STE 100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023598",
            "telephone_number": "919-264-8368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON HOLTMAN DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-25",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A",
        "authorized_official_last_name": "HOLTMAN",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "919-264-8368",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; 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.