Russell Lane Holderness, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN31046 Issued in FL

Practice address

1150 Jacaranda Blvd
Venice, FL 34292

Phone

(703) 966-4674

NPI assigned

Oct 16, 2009

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

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1255651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1679808166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 PINE RANCH EAST RD",
            "city": "OSPREY",
            "state": "FL",
            "postal_code": "342298973",
            "telephone_number": "703-966-4674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 JACARANDA BLVD",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "34292",
            "telephone_number": "703-966-4674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDERNESS",
        "first_name": "RUSSELL",
        "middle_name": "LANE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-16",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN31046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hobart K. Richey, M.D., P.a.
• Sharon Hobgood
• Nicole Denise Holbrook, OTR/L, CHT
• Ryan Stephen Holbrook, DMD
• Melissa J Holderbach, BCBA
• Sidney Wayne Holec, M.D.
• Raul Holguin, M.D.
• Holiday CVS LLC (CVS Pharmacy# 01120)
• Holiday CVS LLC (CVS Pharmacy #04266)
• Holiday CVS LLC (CVS Pharmacy 03647)

• Dentist in Venice, FL
• Providers in Venice, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.