Thomas J Holt, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D7597 Issued in OR

Practice address

199 N 9TH St
Coos Bay, OR 97420-1702

Phone

(541) 267-4314

Fax

(541) 269-5416

NPI assigned

Aug 2, 2005

Last updated

Jun 23, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1902807753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 N 9TH ST",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974201702",
            "telephone_number": "541-267-4314",
            "fax_number": "541-269-5416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 N 9TH ST",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974201702",
            "telephone_number": "541-267-4314",
            "fax_number": "541-269-5416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "THOMAS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D7597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208334",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brigett W Hollander, LCSW
• Leslie Hollingsworth
• Regina Holman
• Alexis Holston
• Danielle Elizabeth Holt
• Hope Mental Wellness
• Jennifer Dawn Hope, PMHNP-BC, FNP-BC
• Horizon Medical LLC
• Jared R Houser, PT
• Shana Howard, MSW

• General Practice Dentistry in Coos Bay, OR
• Providers in Coos Bay, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.