Active NPI
Nathan C. Holt, D.M.D.
- General Practice Dentistry
- Draper, UT
National Provider Identifier
1437384500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5487756-9922
- Practice address
- 219 E 12300 S
Suite I-5
Draper, UT 84020-6970 - Phone
- (801) 495-4440
- Fax
- (801) 495-4442
- NPI assigned
- May 19, 2009
- Last updated
- Oct 22, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5487756-9922 | UT | Primary |
Addresses
Primary practice location
219 E 12300 S
Suite I-5
Draper, UT 84020-6970
Mailing address
219 E 12300 S
Suite I-5
Draper, UT 84020-6970
Phone (801) 495-4440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5487756-9922 | UT | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256169600000",
"number": "1437384500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 E 12300 S",
"address_2": "SUITE I-5",
"city": "DRAPER",
"state": "UT",
"postal_code": "840206970",
"telephone_number": "801-495-4440",
"fax_number": "801-495-4442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 E 12300 S",
"address_2": "SUITE I-5",
"city": "DRAPER",
"state": "UT",
"postal_code": "840206970",
"telephone_number": "801-495-4440",
"fax_number": "801-495-4442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLT",
"first_name": "NATHAN",
"middle_name": "C.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-05-19",
"last_updated": "2009-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "UT",
"license": "5487756-9922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Draper, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.