Active NPI
Allyn Holtzin, DDS
- Dentist
- Marlton, NJ
National Provider Identifier
1811025554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22D100639700
- Practice address
- 32 Mitchell CT
Marlton, NJ 08053-8551 - Phone
- (856) 797-0818
- NPI assigned
- Mar 2, 2007
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 22D100639700 | NJ | Primary |
Addresses
Primary practice location
32 Mitchell CT
Marlton, NJ 08053-8551
Mailing address
32 Mitchell CT
Marlton, NJ 08053-8551
Phone (856) 797-0818
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 |
|---|---|---|---|
| 22D100639700 | NJ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206921600000",
"number": "1811025554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 MITCHELL CT",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080538551",
"telephone_number": "856-797-0818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 MITCHELL CT",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080538551",
"telephone_number": "856-797-0818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLTZIN",
"first_name": "ALLYN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-02",
"last_updated": "2008-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22D100639700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marlton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.