Active NPI
Jeffrey D. Holt, D.D.S.
- Pediatric Dentistry
- Carrollton, TX
National Provider Identifier
1891818456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 15798
- Practice address
- 4112 N Josey LN Ste 128
Carrollton, TX 75007-1529 - Phone
- (972) 394-2140
- Fax
- (972) 394-6489
- NPI assigned
- Apr 9, 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 15798 | TX | Primary |
Addresses
Primary practice location
4112 N Josey LN Ste 128
Carrollton, TX 75007-1529
Mailing address
4112 N Josey LN Ste 128
Carrollton, TX 75007-1529
Phone (972) 394-2140
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 |
|---|---|---|---|
| 15798 | TX | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891818456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4112 N JOSEY LN STE 128",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750071529",
"telephone_number": "972-394-2140",
"fax_number": "972-394-6489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4112 N JOSEY LN STE 128",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750071529",
"telephone_number": "972-394-2140",
"fax_number": "972-394-6489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLT",
"first_name": "JEFFREY",
"middle_name": "D.",
"name_prefix": "Mr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "15798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.