Active NPI
Dennis Eli Holt, BS,DMD,MS,MSED
- Endodontics
- Bend, OR
National Provider Identifier
1679898001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 5456 OREGON
- Practice address
- 63269 Cherokee LN
Bend, OR 97701-9019 - Phone
- (541) 388-1502
- NPI assigned
- Mar 29, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 5456 | OR | |
| Endodontics | 1223E0200X | 5456 OREGON | OR | Primary |
Addresses
Primary practice location
63269 Cherokee LN
Bend, OR 97701-9019
Mailing address
63269 Cherokee LN
Bend, OR 97701-9019
Phone (541) 388-1502
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Science, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5456 OREGON | OR | MD | Endodontist |
| 5456 | OR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269820800000",
"number": "1679898001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63269 CHEROKEE LN",
"city": "BEND",
"state": "OR",
"postal_code": "977019019",
"telephone_number": "541-388-1502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63269 CHEROKEE LN",
"city": "BEND",
"state": "OR",
"postal_code": "977019019",
"telephone_number": "541-388-1502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLT",
"first_name": "DENNIS",
"middle_name": "ELI",
"name_prefix": "Dr.",
"credential": "BS,DMD,MS,MSED",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-29",
"last_updated": "2010-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "OR",
"license": "5456",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "OR",
"license": "5456 OREGON",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.