Kevin Bartlett Holley, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11784 Issued in NC

Practice address

107 Oakmont Dr
Greenville, NC 27858-5937

Phone

(252) 321-2500

Fax

(252) 321-0248

NPI assigned

Jun 25, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Kevin Holley DMD PLLC

  • General Practice Dentistry
  • Greenville, NC
  • NPI 1508509803
  NPD Authorized official
• Ryan T. Pruitt, D.M.D & Associates P.a.

  • General Practice Dentistry
  • Greenville, NC
  • NPI 1821727520
  NPD (past)

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653696000000",
    "number": "1609492610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 HILLSIDE DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278584519",
            "telephone_number": "252-702-9043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 OAKMONT DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585937",
            "telephone_number": "252-321-2500",
            "fax_number": "252-321-0248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLEY",
        "first_name": "KEVIN",
        "middle_name": "BARTLETT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-25",
        "last_updated": "2022-05-28",
        "certification_date": "2022-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "11784",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "11784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaime Holbrook, PA-C
• Michael L Holdeman, MD
• Holistic Hearts Counseling & Wellness Center
• Ethan Holland, PT, DPT
• James Eugene Holland, MD
• Khrecia Lashanda Holley, CPSS, CADC-R, FPS
• Sherelle D Holley, PMHNP
• Danielle Livolsi Holliday
• Susan Holliday, PNP
• Mandy L Hollingdrake, RT

• General Practice Dentistry in Greenville, NC
• Providers in Greenville, 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 May 28, 2022; 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.