Mark H Holt, D.D.S.,M.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

35615 Issued in CA

Practice address

1421 Secret Ravine Pkwy Ste 121
Roseville, CA 95661-6045

Phone

(916) 786-9282

NPI assigned

Oct 14, 2014

Last updated

Oct 14, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Mark H. Holt, DDS, Ms, Inc

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Roseville, CA
  • NPI 1558458703
  NPD (past) Authorized official

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

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413244800000",
    "number": "1225432685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 SECRET RAVINE PKWY STE 121",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956616045",
            "telephone_number": "916-786-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 SECRET RAVINE PKWY STE 121",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956616045",
            "telephone_number": "916-786-9282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "MARK",
        "middle_name": "H",
        "credential": "D.D.S.,M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-14",
        "last_updated": "2014-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "35615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin Holmes, MD
• Bobby Doyle Holmes, D.C.
• Gabrielle Holmes
• Allison Holt, NP
• Bruce Monte Holt, DDS
• Sherri Lynn Holt, PSYD., LMFT
• Tyler Holt, D.D.S.
• Nancy Lee Holtz, N.P.
• Jessica Holzer, RBT
• Home Again Medical, Inc

• Orthodontics and Dentofacial Orthopedics Dentistry in Roseville, CA
• Providers in Roseville, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; 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.