Robert Glen Bookholt, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3531 Issued in NC

Practice address

11349 Bain School Rd
Charlotte, NC 28227-7536

Phone

(704) 545-3109

Fax

(704) 573-9542

NPI assigned

Feb 5, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Robert G Bookholt, DDS, PA

  • Dental Clinic/Center
  • Charlotte, NC
  • NPI 1811065279
  NPD (past) Authorized official
• Thomas N. Triplett, DDS, PLLC

  • General Practice Dentistry
  • Charlotte, NC
  • NPI 1699940957
  NPD (past)

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202169600000",
    "number": "1609054287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11349 BAIN SCHOOL RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282277536",
            "telephone_number": "704-545-3109",
            "fax_number": "704-573-9542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11349 BAIN SCHOOL RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282277536",
            "telephone_number": "704-545-3109",
            "fax_number": "704-573-9542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOKHOLT",
        "first_name": "ROBERT",
        "middle_name": "GLEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-05",
        "last_updated": "2008-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "3531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arlene Ann Booker
• Hannah Koob Booker, LCMHC
• Latonya Rhodes Booker, M.ED., CCC-SLP
• Teja Booker, PT, DPT
• Tywan Booker
• Gayle Denise Bookout
• Roxanna Books, LCAS-A, LCMHC-A
• Boondock Express
• Katherine Kelly Boone, NCC, LPCA
• Kristen Lucille Boone

• General Practice Dentistry in Charlotte, NC
• Providers in Charlotte, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; 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.