Sheila Magdalena Gordon-Holt, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7365 Issued in NC

Practice address

12105 Copper Way
Suite 200
Charlotte, NC 28277

Phone

(704) 542-2325

NPI assigned

Jun 13, 2006

Last updated

Mar 22, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Sheila Gordon-Holt, D.D.S., P.a.

  dba Holt Family Dentistry

  • Dentist
  • Charlotte, NC
  • NPI 1326210147
  NPD (past) Authorized official

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1134162811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12105 COPPER WAY",
            "address_2": "STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282771817",
            "telephone_number": "704-542-2325",
            "fax_number": "704-542-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12105 COPPER WAY",
            "address_2": "SUITE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28277",
            "telephone_number": "704-542-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON-HOLT",
        "first_name": "SHEILA",
        "middle_name": "MAGDALENA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vani V. Gopalareddy, MD
• Gophers Otr LLC
• Connor Michael Gordley, PA
• Hannah Faith Gordner, LCMHC-A
• Gordon J. Roznik DMD PA
• Charles David Gordon, M.D.
• Coleen Gordon
• Dahlia K Gordon, MS, RD, LDN
• Damon L Gordon
• Eno Ekwere Gordon, PT

• General Practice Dentistry in Charlotte, NC
• Providers in Charlotte, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.