Robert L Holt, D.M.D.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN5405 Issued in FL

Practice address

1515 N Flagler Dr
Suite 301
West Palm Beach, FL 33401-3428

Phone

(561) 655-1700

Fax

(561) 853-0793

NPI assigned

Jul 27, 2011

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Florida Institute for Periodontics & Dental Implants, P.a.

  • Periodontics
  • Wellington, FL
  • NPI 1316225121
  NPD (past) Authorized official
• Florida Institute for Periodontics & Dental Implants, P.a.

  • Periodontics
  • West Palm Beach, FL
  • NPI 1831477629
  NPD (past) Authorized official

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

{
    "created_epoch": "1311724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311724800000",
    "number": "1306124102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 N FLAGLER DR",
            "address_2": "SUITE 301",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013428",
            "telephone_number": "561-655-1700",
            "fax_number": "561-853-0793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 N FLAGLER DR",
            "address_2": "SUITE 301",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013428",
            "telephone_number": "561-655-1700",
            "fax_number": "561-853-0793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "ROBERT",
        "middle_name": "L",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-27",
        "last_updated": "2011-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN5405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenyetta Shananey Holmes, BSW,MSW
• Marquisha Holmes
• Osa Jill Holmes
• Megan Holmstrom
• Juanita Annelise Holt
• Holy Adult Family Care Home
• Holy Adult Family Care Home, LLC
• Home Away From Home
• Home Diagnostics on Wheels
• Home Health Care Resources Corp

• Periodontics in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Periodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.