Rose Stewart Holdren, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

6368 Issued in WA

Practice address

1344 NE McWilliams Rd
Suite 140
Bremerton, WA 98311-3164

Phone

(360) 662-1450

Fax

(360) 662-1454

NPI assigned

Jun 16, 2005

Sex

Female

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 WA

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

State licenses

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297641600000",
    "number": "1316942287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1344 NE MCWILLIAMS RD",
            "address_2": "SUITE 140",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983113164",
            "telephone_number": "360-662-1450",
            "fax_number": "360-662-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1344 NE MCWILLIAMS RD",
            "address_2": "SUITE 140",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983113164",
            "telephone_number": "360-662-1450",
            "fax_number": "360-662-1454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDREN",
        "first_name": "ROSE",
        "middle_name": "STEWART",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-16",
        "last_updated": "2011-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "6368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vikki Hofmann
• Terry Hart Holbrook, M.A.
• Stephanie Holcomb
• Curtis H Holder, MD
• Lindsey Holdren
• Patrice Lynn Holland
• Sylvia Dee Hollenback, CCC SLP
• Holly Ridge Center
• Elizabeth Holmes
• Karen Holmes

• Dentist in Bremerton, WA
• Providers in Bremerton, WA by specialty
• Dentist in Washington

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