John Bernard Holtman, DMD PSC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3917 Issued in KY

Practice address

3932 Dutchmans Lane
Louisville, KY 40207

Phone

(502) 895-0797

Fax

(502) 895-1328

NPI assigned

Nov 7, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578632204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3932 DUTCHMANS LANE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40207",
            "telephone_number": "502-895-0797",
            "fax_number": "502-895-1328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3932 DUTCHMANS LANE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40207",
            "telephone_number": "502-895-0797",
            "fax_number": "502-895-1328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLTMAN",
        "first_name": "JOHN",
        "middle_name": "BERNARD",
        "name_prefix": "Dr.",
        "credential": "DMD PSC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "3917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENTUCKY ST LICENSE NUMBE",
            "identifier": "3917",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taryn Renee Holt, PHARMD
• Tracy Ryan Holt, APRN
• Wendy Jean Holt, OTR/L
• Amy L. Holthouser, MD
• Kristine A Holthouser
• Judy H. Holtman, M.D.
• Katherine Anne Holtz, PA-C
• Rose Holum
• Tyler James Holvey
• Aynsley W Holzen, AU.D.

• General Practice Dentistry in Louisville, KY
• Providers in Louisville, KY by specialty
• General Practice Dentistry in Kentucky

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.