Active NPI
Danny B Holt, MD
- Family Medicine Physician
- Pocahontas, AR
National Provider Identifier
1780673368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C5407
- Practice address
- 2901 Medical Center Dr
Pocahontas, AR 72455-9438 - Phone
- (870) 892-4467
- Fax
- (870) 892-4407
- NPI assigned
- Oct 17, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | C5407 | AR | Primary |
Addresses
Primary practice location
2901 Medical Center Dr
Pocahontas, AR 72455-9438
Mailing address
2901 Medical Center Dr
Pocahontas, AR 72455-9438
Phone (870) 892-4467
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105434001 | Medicaid | AR |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C5407 | AR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Arkansas Clinic, PA | Past | Accepting new patients | |
| Ozarks Medical Center | Family Medicine | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba NEA Clinic
- Multi-Specialty Clinic/Center
- Jonesboro, AR
- NPI 1376517177
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345680000000",
"number": "1780673368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 MEDICAL CENTER DR",
"city": "POCAHONTAS",
"state": "AR",
"postal_code": "724559438",
"telephone_number": "870-892-4467",
"fax_number": "870-892-4407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 MEDICAL CENTER DR",
"city": "POCAHONTAS",
"state": "AR",
"postal_code": "724559438",
"telephone_number": "870-892-4467",
"fax_number": "870-892-4407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLT",
"first_name": "DANNY",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-17",
"last_updated": "2012-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "C5407",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105434001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pocahontas, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.