Dr. Baron Holt

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

4061 Issued in NC

Legal business name

DR. BARON HOLT

Doing business as

Revolution Chiropractic

Practice address

2315 Lynn Rd
Suite 103
Raleigh, NC 27612-6743

Phone

(423) 748-5095

NPI assigned

Feb 22, 2010

Last updated

Feb 22, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Baron Gable Holt, D. C.

Title

Owner

Phone

(423) 748-5095

Specialties & licenses 2

Addresses

Other names 1

• Revolution Chiropractic Doing business as

Locations

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

{
    "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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• Dr. Betty K. Sutton
• Dr. Cameron & Associates of Brier Creek, PLLC (Triangle Family Dentistry)
• Dr. Cameron & Associates of Glenwood, PLLC
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• Community Health Clinic/Center in Raleigh, NC
• Providers in Raleigh, NC by specialty
• 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.