Little Boots Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

LITTLE BOOTS PEDIATRIC DENTISTRY

Practice address

3804 Lenox Dr
Fort Worth, TX 76107-1714

Phone

(314) 630-3689

NPI assigned

Feb 16, 2024

Last updated

Feb 16, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathryn Holthaus, DDSNPI 1033593009

Title

Owner / Pediatric Dentist

Phone

(314) 630-3689

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kathryn Stahlhuth Holthaus, D.D.S

  • Pediatric Dentistry
  • Roxbury, MA
  • NPI 1033593009
  NPD Authorized official

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

{
    "created_epoch": "1708041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1902661168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3804 LENOX DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761071714",
            "telephone_number": "314-630-3689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3804 LENOX DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761071714",
            "telephone_number": "314-630-3689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE BOOTS PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-16",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A",
        "authorized_official_last_name": "HOLTHAUS",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "OWNER / PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "314-630-3689",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark S Lisch, DPM
• Stella A. Lisk, RN, BC, FNP
• Shannon Listebarger, MPT
• Daisy Amisi Litaba, APRN, PHMNP-BC
• Alan Scott Littenberg
• Little Champs ABA TX LLC
• Little Dandelion Speech and Feeding Therapy
• Little Red Wagon Pediatric Therapy, LLC
• Little Star Rehab (Little Stars Rehab)
• Little Voices Speech and Language Therapy

• Pediatric Dentistry in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; 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.