Thomas a. Holt DDS PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

DE00010295 Issued in WA

Legal business name

THOMAS A. HOLT DDS PLLC

Practice address

27016 Maple Valley Black Diamond Road South East
Maple Valley, WA 98038

Phone

(425) 413-8525

Fax

(425) 413-8599

NPI assigned

Jun 26, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Thomas A Holt, DDS

Title

Owner

Phone

(425) 413-8525

Specialties & licenses 1

Addresses

Other names 1

• Maple Valley Family Dental Care Former legal business name

Locations

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403740800000",
    "number": "1487069647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27016 MAPLE VALLEY BLACK DIAMOND ROAD SOUTH EAST",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "98038",
            "telephone_number": "425-413-8525",
            "fax_number": "425-413-8599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27016 MAPLE VALLEY BLACK DIAMOND ROAD SOUTH EAST",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "98038",
            "telephone_number": "425-413-8525",
            "fax_number": "425-413-8599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS A. HOLT DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-26",
        "last_updated": "2014-06-26",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-413-8525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00010295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maple Valley Family Dental Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• David Thomson, LMFT
• Guy A Thomson, D.C.
• Melissa Ann Thrash, LMP
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• Dentist in Maple Valley, WA
• Providers in Maple Valley, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; 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.