Jason Michael Holtman

Primary specialty

DentistTaxonomy code 122300000X

License

D11523 Issued in OR

Practice address

965 SW Emkay Dr Ste 100
Bend, OR 97702-3598

Phone

(541) 383-0754

Fax

(541) 383-8218

NPI assigned

Apr 3, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Jason Holtman DDS LLC

  • Dentist
  • Bend, OR
  • NPI 1104614650
  NPD Authorized official

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1649809583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 NW MCKAY AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032523",
            "telephone_number": "919-264-8368",
            "fax_number": "541-383-8128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 SW EMKAY DR STE 100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023598",
            "telephone_number": "541-383-0754",
            "fax_number": "541-383-8218"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "77 NW McKay Ave",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977032523",
            "country_code": "US",
            "telephone_number": "919-264-8368",
            "fax_number": "541-383-8218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLTMAN",
        "first_name": "JASON",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-03",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D11523",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "OR",
            "license": "D11523",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D11523",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Holms
• John A Holpuch, DDS
• Dennis Eli Holt, BS,DMD,MS,MSED
• Kenneth Milton Holt II
• Adeline Holter, LCSW, LAC
• Tanner Harry Calvin Holton IV
• Jamie R Holts
• Carol A Holub
• Home Health of Northwest, LLC
• Homeopathic Weight Management LLC/Evoke Healing Space and Spa

• Dentist in Bend, OR
• Providers in Bend, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.