NPIMap

Organization Active NPI

Bruce M. Holt, D.D.S., Inc.

  • Endodontics
  • Roseville, CA
National Provider Identifier
1922296391
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
42053 Issued in CA
Legal business name
BRUCE M. HOLT, D.D.S., INC.
Practice address
1421 Secret Ravine Pkwy.
Suite 101
Roseville, CA 95661
Phone
(916) 781-3743
NPI assigned
Oct 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Authorized official

Name
Dr. Bruce M. Holt, DDSNPI 1134259922
Title
President
Phone
(916) 781-3743

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 42053 CA Primary

Addresses

Primary practice location

1421 Secret Ravine Pkwy.
Suite 101
Roseville, CA 95661

Mailing address

1421 Secret Ravine Pkwy.
Suite 101
Roseville, CA 95661
Phone (916) 781-3743

National Provider Directory

National Provider Directory

Locations

1421 Secret Ravine Pkwy
Ste 101
Roseville, CA 95661
Phone (916) 781-3743

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1922296391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 SECRET RAVINE PKWY.",
            "address_2": "SUITE 101",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "95661",
            "telephone_number": "916-781-3743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 SECRET RAVINE PKWY.",
            "address_2": "SUITE 101",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "95661",
            "telephone_number": "916-781-3743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE M. HOLT, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-781-3743",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "42053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.

Verify at the official NPI Registry.