Active NPI
Holt & Rockwood PLLC.
- Dentist
- Maple Valley, WA
National Provider Identifier
1619511284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- HOLT & ROCKWOOD PLLC.
- Practice address
- 27016 Maple Valley Black Diamond Rd SE
Maple Valley, WA 98038-8319 - Phone
- (425) 413-8525
- Fax
- (425) 413-8599
- NPI assigned
- Nov 6, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wendy Lynn Oconnell
- Title
- Office Manager
- Phone
- (425) 413-8525
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
27016 Maple Valley Black Diamond Rd SE
Maple Valley, WA 98038-8319
Mailing address
27016 Maple Valley Black Diamond Rd SE
Maple Valley, WA 98038-8319
Phone (425) 413-8525
Other names 1
- Maple Valley Family Dental Care
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572998400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1572998400000",
"number": "1619511284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27016 MAPLE VALLEY BLACK DIAMOND RD SE",
"city": "MAPLE VALLEY",
"state": "WA",
"postal_code": "980388319",
"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 RD SE",
"city": "MAPLE VALLEY",
"state": "WA",
"postal_code": "980388319",
"telephone_number": "425-413-8525",
"fax_number": "425-413-8599"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLT & ROCKWOOD PLLC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-06",
"last_updated": "2019-11-06",
"status": "A",
"authorized_official_last_name": "OCONNELL",
"authorized_official_first_name": "WENDY",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "425-413-8525"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Maple Valley Family Dental Care",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Maple Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.