NPIMap

Organization Active NPI

Barry L Holden DMD PC

  • Periodontics
  • State College, PA
National Provider Identifier
1639199433
Registry record updated Jan 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DS024069L Issued in PA
Legal business name
BARRY L HOLDEN DMD PC
Practice address
110 Regent CT
Ste 100
State College, PA 16801-7966
Phone
(814) 231-0110
Fax
(814) 231-0118
NPI assigned
Jul 21, 2006
Last updated
Jan 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2008

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

Authorized official

Name
Dr. Barry Lee Holden, DMDNPI 1376795393
Title
President
Phone
(814) 231-0110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DS024069L PA
Periodontics 1223P0300X DS024069L PA Primary

Addresses

Primary practice location

110 Regent CT
Ste 100
State College, PA 16801-7966

Mailing address

110 Regent CT
Ste 100
State College, PA 16801-7966
Phone (814) 231-0110

Other identifiers 2

IdentifierTypeStateIssuer
411542OtherPABCBS
411542OtherPAUCCI

National Provider Directory

National Provider Directory

Locations

110 Regent Ct
Ste 100
State College, PA 16801
Phone (814) 231-0110

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200441600000",
    "number": "1639199433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 REGENT CT",
            "address_2": "STE 100",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168017966",
            "telephone_number": "814-231-0110",
            "fax_number": "814-231-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 REGENT CT",
            "address_2": "STE 100",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168017966",
            "telephone_number": "814-231-0110",
            "fax_number": "814-231-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRY L HOLDEN DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2008-01-16",
        "status": "A",
        "authorized_official_last_name": "HOLDEN",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-231-0110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PA",
            "license": "DS024069L",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "PA",
            "license": "DS024069L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "411542",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCCI",
            "identifier": "411542",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in State College, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.