Marie Corbisiero Holt, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12009021 Issued in IN

Practice address

7862 E 96TH St
Fishers, IN 46037-9629

Phone

(317) 576-9393

NPI assigned

Mar 19, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Marie C. Holt, DDS

  • Dentist
  • Fishers, IN
  • NPI 1588970867
  NPD (past) Authorized official
• 96TH Street Family Dentistry LLC

  dba Holt Dental

  • General Practice Dentistry
  • Fishers, IN
  • NPI 1124735782
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386768141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7862 E 96TH ST",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379629",
            "telephone_number": "317-576-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7862 E 96TH ST",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379629",
            "telephone_number": "317-576-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "MARIE",
        "middle_name": "CORBISIERO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12009021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Holmes
• Patrice L Holmes, M.S. ED., LSC
• Savannah Holmes, RBT
• Shavon Holmes, NP
• Julie Hoogerhyde Holt
• Home4Birth LLC
• Homepoint Care Services Inc
• Shania Hood
• Hook-Superx LLC (CVS Pharmacy #04982)
• Hook-Superx LLC (CVS Pharmacy #08649)

• General Practice Dentistry in Fishers, IN
• Providers in Fishers, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.