Organization Active NPI

Holt and Associates D.D.S., P. a.

  • General Practice Dentistry
  • Jacksonville, AR
National Provider Identifier
1851302285
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3143 Issued in AR
Legal business name
HOLT AND ASSOCIATES D.D.S., P. A.
Practice address
1100 John Harden Dr
Jacksonville, AR 72076-3161
Phone
(501) 982-4520
Fax
(501) 982-7450
NPI assigned
Aug 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Brian R Holt, D.D.S.NPI 1790709087
Title
Owner
Phone
(501) 982-4520

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3143 AR Primary

Addresses

Primary practice location

1100 John Harden Dr
Jacksonville, AR 72076-3161

Mailing address

1100 John Harden Dr
Jacksonville, AR 72076-3161
Phone (501) 982-4520

Other identifiers 1

IdentifierTypeStateIssuer
1790709087OtherARINDIVIDUAL NPI NUMBER

National Provider Directory

National Provider Directory

Locations

1100 John Harden Dr
Jacksonville, AR 72076
Phone (501) 982-4520

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851302285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 JOHN HARDEN DR",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720763161",
            "telephone_number": "501-982-4520",
            "fax_number": "501-982-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 JOHN HARDEN DR",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720763161",
            "telephone_number": "501-982-4520",
            "fax_number": "501-982-7450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLT AND ASSOCIATES D.D.S., P. A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-982-4520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1790709087",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.