Active NPI
David H Holt Jr., M.D.
- Diagnostic Radiology Physician
- Anderson, SC
National Provider Identifier
1477603090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 13755
- Practice address
- 800 N Fant St
Anderson, SC 29621-5708 - Phone
- (864) 226-0511
- Fax
- (864) 231-7018
- NPI assigned
- Jan 12, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 13755 | SC | Primary |
Addresses
Primary practice location
800 N Fant St
Anderson, SC 29621-5708
Mailing address
211 S Main St
Anderson, SC 29624-1620
Phone (864) 226-0511
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300020825 | Other | SC | RAIL ROAD MEDICARE |
| 00360104A | Other | GA | MEDICAID |
| TL2681 | Medicaid | SC | |
| 57-0853635 | Other | SC | BLUE CROSS |
| 57-0853635 | Other | SC | CHAMPUS |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13755 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192579200000",
"number": "1477603090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 S MAIN ST",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296241620",
"telephone_number": "864-226-0511",
"fax_number": "864-231-7018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 N FANT ST",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296215708",
"telephone_number": "864-226-0511",
"fax_number": "864-231-7018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLT",
"first_name": "DAVID",
"middle_name": "H",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-12",
"last_updated": "2007-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "SC",
"license": "13755",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "300020825",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "00360104A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "TL2681",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "57-0853635",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "57-0853635",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Anderson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.