Dr. Baron Holt

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

4061 Issued in NC

Legal business name

DR. BARON HOLT

Practice address

2315 Lynn Rd
Suite 103
Raleigh, NC 27612-6743

Phone

(423) 748-5095

NPI assigned

Feb 22, 2010

Organization subpart

No

Name

Dr. Baron Gable Holt, D. C.

Title

Owner

Phone

(423) 748-5095

Locations

• Revolution Chiropractic Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 22, 2010.

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266796800000",
    "number": "1285956979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 LYNN RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276126743",
            "telephone_number": "423-748-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 LYNN RD",
            "address_2": "SUITE 103",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276126743",
            "telephone_number": "423-748-5095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. BARON HOLT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-22",
        "last_updated": "2010-02-22",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "BARON",
        "authorized_official_middle_name": "GABLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-748-5095",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. C."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NC",
            "license": "4061",
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NC",
            "license": "4061",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Revolution Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Raleigh, NC
• Community Health Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; 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.