Active NPI
David Mark Holbrook, DMD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Lehi, UT
National Provider Identifier
1760616510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 8306050-9921
- Practice address
- 3401 N Center St Ste 225
Lehi, UT 84043-7500 - Phone
- (385) 233-0059
- NPI assigned
- May 7, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 58461 | CA | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 33506 | TX | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 8306050-9921 | UT | Primary |
Addresses
Primary practice location
3401 N Center St Ste 225
Lehi, UT 84043-7500
Mailing address
15376 S Secretariat Dr
Bluffdale, UT 84065-5562
Phone (559) 740-8785
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8306050-9921 | UT | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| 58461 | CA | MD | Pharmacist |
| 33506 | TX | MD | Speech-Language Assistant |
Interoperability endpoints
- dholbrook@direct.westerndental.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519344000000",
"number": "1760616510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15376 S SECRETARIAT DR",
"city": "BLUFFDALE",
"state": "UT",
"postal_code": "840655562",
"telephone_number": "559-740-8785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 N CENTER ST STE 225",
"city": "LEHI",
"state": "UT",
"postal_code": "840437500",
"telephone_number": "385-233-0059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLBROOK",
"first_name": "DAVID",
"middle_name": "MARK",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-07",
"last_updated": "2018-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "58461",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "TX",
"license": "33506",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "UT",
"license": "8306050-9921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lehi, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.