NPIMap

Organization Active NPI

Travon Holt DMD PC

  • Dentist
  • Atlanta, GA
National Provider Identifier
1124555933
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN012908 Issued in GA
Legal business name
TRAVON HOLT DMD PC
Practice address
3515 Camp Creek PT
Suite 100
Atlanta, GA 30344-8140
Phone
(404) 629-9290
Fax
(404) 629-9335
NPI assigned
May 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Authorized official

Name
Mrs. Tahisah Holt
Title
Adminstrator
Phone
(404) 629-9290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN012908 GA Primary

Addresses

Primary practice location

3515 Camp Creek PT
Suite 100
Atlanta, GA 30344-8140

Mailing address

3515 Camp Creek PT
Suite 100
Atlanta, GA 30344-8140
Phone (404) 629-9290

National Provider Directory

National Provider Directory

Locations

3515 Camp Creek Pkwy
Ste 100
Atlanta, GA 30344
Phone (404) 629-9290

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1124555933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 CAMP CREEK PT",
            "address_2": "SUITE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303448140",
            "telephone_number": "404-629-9290",
            "fax_number": "404-629-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 CAMP CREEK PT",
            "address_2": "SUITE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303448140",
            "telephone_number": "404-629-9290",
            "fax_number": "404-629-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVON HOLT DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "TAHISAH",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "404-629-9290",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN012908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.