Active NPI
Bruce Holz, DDS
- General Practice Dentistry
- Fort Lauderdale, FL
National Provider Identifier
1285620807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0007272
- Practice address
- 2320 NE 53Rd St
Fort Lauderdale, FL 33308-3212 - Phone
- (954) 492-8126
- Fax
- (954) 771-7505
- NPI assigned
- Sep 20, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0007272 | FL | Primary |
Addresses
Primary practice location
2320 NE 53Rd St
Fort Lauderdale, FL 33308-3212
Mailing address
2320 NE 53Rd St
Fort Lauderdale, FL 33308-3212
Phone (954) 492-8126
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0007272 | FL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185148800000",
"number": "1285620807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2320 NE 53RD ST",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333083212",
"telephone_number": "954-492-8126",
"fax_number": "954-771-7505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2320 NE 53RD ST",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333083212",
"telephone_number": "954-492-8126",
"fax_number": "954-771-7505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLZ",
"first_name": "BRUCE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-20",
"last_updated": "2007-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "0007272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.