Ryan Stephen Holbrook, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN20573 Issued in FL

Practice address

200 Capri Isles Blvd
Venice, FL 34292-2302

Phone

(941) 484-3885

Fax

(941) 484-3885

NPI assigned

Jul 6, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Ryan S. Holbrook, DMD, P.a.

  dba Florida Dental Implant Center

  • Dental Clinic/Center
  • Venice, FL
  • NPI 1134886062
  NPD Authorized official

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

{
    "created_epoch": "1341532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1770848616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CAPRI ISLES BLVD UNIT 1A",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342922335",
            "telephone_number": "941-484-3885",
            "fax_number": "941-484-3885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CAPRI ISLES BLVD",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342922302",
            "telephone_number": "941-484-3885",
            "fax_number": "941-484-3885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLBROOK",
        "first_name": "RYAN",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-06",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DRP1071",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN20573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Hill
• Jillian Hinds
• Hobart K. Richey, M.D., P.a.
• Sharon Hobgood
• Nicole Denise Holbrook, OTR/L, CHT
• Melissa J Holderbach, BCBA
• Russell Lane Holderness, DDS
• Sidney Wayne Holec, M.D.
• Raul Holguin, M.D.
• Holiday CVS LLC (CVS Pharmacy# 01120)

• 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, 2024; 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.