Shalise M Holt DDS Ms PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

SHALISE M HOLT DDS MS PC

Practice address

9184 Darrow Rd
Twinsburg, OH 44087

Phone

(872) 704-0701

NPI assigned

Dec 14, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Shalise Marie Holt, DDS MSNPI 1164904272

Title

President

Phone

(872) 704-0701

Specialties & licenses 1

Addresses

Other names 1

• Holt Orthodontics Doing business as

Locations

Practitioners 1

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

• Shalise Marie Holt, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Loves Park, IL
  • NPI 1164904272
  NPD Authorized official

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

{
    "created_epoch": "1702512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702512000000",
    "number": "1194593517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7334 STOCKWOOD DR",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441395681",
            "telephone_number": "419-357-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9184 DARROW RD",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "44087",
            "telephone_number": "872-704-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALISE M HOLT DDS MS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-14",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-13",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "SHALISE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "872-704-0701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holt Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joel D. Schwartz, D.P.M.
• Brittney Scott
• Senior Services Advantage LLC
• Serina E Mumford
• Susan R Shah, M.D.
• Rahim Shareef, DO
• Chih-CHI Jenny Sheen, D.D.S.
• Lolitha I Shepherd, RN
• Srishti Prasad Shrivastav
• Jasleen Sidhu

• Orthodontics and Dentofacial Orthopedics Dentistry in Twinsburg, OH
• Providers in Twinsburg, OH by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.