Individual provider Active NPI

William P Holt, DPM

  • Podiatrist
  • Knoxville, TN
National Provider Identifier
1912918848
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
DPM116 Issued in TN
Practice address
312 Knox Rd
Knoxville, TN 37918-2316
Phone
(865) 687-7771
Fax
(865) 688-6582
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X DPM116 TN Primary
Foot & Ankle Surgery Podiatrist 213ES0103X DPM116 TN

Addresses

Primary practice location

312 Knox Rd
Knoxville, TN 37918-2316

Mailing address

312 Knox Rd
Knoxville, TN 37918-2316
Phone (865) 687-7771

Other identifiers 2

IdentifierTypeStateIssuer
2008083OtherTNBCBS
3350096MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20100902000380 TN Practitioner - Podiatry 3779607494 Practice locations: Morristown, TN

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7670/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199836800000",
    "number": "1912918848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 KNOX RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379182316",
            "telephone_number": "865-687-7771",
            "fax_number": "865-688-6582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 KNOX RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379182316",
            "telephone_number": "865-687-7771",
            "fax_number": "865-688-6582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "WILLIAM",
        "middle_name": "P",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2008-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TN",
            "license": "DPM116",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TN",
            "license": "DPM116",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2008083",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3350096",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.