Matthew John Holtan, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DN19074 Issued in FL

Practice address

860 111TH Ave N Ste 5
Naples, FL 34108-1835

Phone

(239) 593-4915

Fax

(239) 593-4914

NPI assigned

Jun 23, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326067200000",
    "number": "1902117104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 111TH AVE N STE 5",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341081835",
            "telephone_number": "239-593-4915",
            "fax_number": "239-593-4914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 111TH AVE N STE 5",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341081835",
            "telephone_number": "239-593-4915",
            "fax_number": "239-593-4914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLTAN",
        "first_name": "MATTHEW",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-23",
        "last_updated": "2012-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN19074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Holloway, FNP-C
• Rebecca Mae Holly, APRN
• Angela Michele Holmes
• Casey Jacob Holmes, M.D.
• Christine Holmes, LMHC
• Christopher Holzer
• Jennifer Mary Holzer
• Home Care Collective LLC
• Home Care Physical Therapy, PC
• Home Health Care Professionals of Naples, LLC

• Dentist in Naples, FL
• Providers in Naples, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.