Barry L. Holden, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DS024069L Issued in PA

Practice address

110 Regent CT
Suite #100
State College, PA 16801-7966

Phone

(814) 231-0110

Fax

(814) 231-0118

NPI assigned

Oct 22, 2008

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• 110 Regent Court College Professional PLLC

  dba Barry L. Holden, DMD

  • General Practice Dentistry
  • State College, PA
  • NPI 1366173551
  NPD (past)

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224633600000",
    "number": "1376795393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 REGENT CT",
            "address_2": "SUITE #100",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168017966",
            "telephone_number": "814-231-0110",
            "fax_number": "814-231-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 REGENT CT",
            "address_2": "SUITE #100",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168017966",
            "telephone_number": "814-231-0110",
            "fax_number": "814-231-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDEN",
        "first_name": "BARRY",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-22",
        "last_updated": "2008-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "PA",
            "license": "DS024069L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "411542",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "411542",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Audra Hixson
• Laura Elizabeth Hoag Schneider, PA-C
• Benjamin Hochman, DPT
• Chelsea Hoffman
• Beverly Renee Hogan, LMSW
• Lena R Holderman, LSW
• Susan Marie Holencik, D.O.
• Allison Buza Holmes, D.O.
• Alyssa Daire Holster, LAPC
• Home Nursing Agency Community Services

• Periodontics in State College, PA
• Providers in State College, PA by specialty
• Periodontics in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; 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.