Mark H. Holt, DDS, Ms, Inc

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

35615 Issued in CA

Legal business name

MARK H. HOLT, DDS, MS, INC

Practice address

1421 Secret Ravine Pkwy
Suite #121
Roseville, CA 95661-6045

Phone

(916) 786-9282

Fax

(916) 786-0776

NPI assigned

Oct 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mark H. Holt, D.D.S.,M.S.NPI 1225432685

Title

President

Phone

(916) 786-9282

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark H Holt, D.D.S.,M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Roseville, CA
  • NPI 1225432685
  NPD (past) Authorized official
• Tyler Holt, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Roseville, CA
  • NPI 1417328170
  NPD (past)

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558458703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 SECRET RAVINE PKWY",
            "address_2": "SUITE #121",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956616045",
            "telephone_number": "916-786-9282",
            "fax_number": "916-786-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 SECRET RAVINE PKWY",
            "address_2": "SUITE #121",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956616045",
            "telephone_number": "916-786-9282",
            "fax_number": "916-786-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK H. HOLT, DDS, MS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-786-9282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S.,M.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "35615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christa Lourdes Mariano-Duyanen, FNP
• Marilyn R. Griffin, Marriage Family Therapy, P.C.
• Lily Ann Marino
• Kimberly A Marjama, N.P.
• Mark David Levine, MD Roseville PC
• Mark Levine M.D. Mindfulness Associates, P.C.
• Tanya R Mark
• Christopher Joseph Markus, D.O
• Ryan Marmorstein
• T J Maroon II, M.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Roseville, CA
• Providers in Roseville, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.