Matthew W Holt, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

09000 Issued in IA

Practice address

106 E Washington Ave
Fairfield, IA 52556-3326

Phone

(641) 472-3147

NPI assigned

Jun 17, 2013

Last updated

Jun 17, 2013By 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

Medicare fee-for-service enrollment

Enrolled in IA

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kimball & Beecher Group LLC

  • General Practice Dentistry
  • Fairfield, IA
  • NPI 1114729050
  NPD (past)

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

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371427200000",
    "number": "1972942662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 S 31ST ST",
            "address_2": "APT C",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525569080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 E WASHINGTON AVE",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525563326",
            "telephone_number": "641-472-3147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "MATTHEW",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-17",
        "last_updated": "2013-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "09000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Florita Cezarina Henderson, MD
• Hiedi Lane Arnp, PLLC (Hiedi Lane ARNP)
• Donal Dean Hill, D.O.
• Robert Kent Hipp, PTA
• Marcia Ellen Holsinger, PTA
• Michael E Holt, DDS
• Theresa I Holt, DDS
• Beth E Hothanzielinski, MD
• Jennifer J Howe, M.A., SLP
• Jennifer Howland, L.AC.

• General Practice Dentistry in Fairfield, IA
• Providers in Fairfield, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; 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.