DR. JOHN ROBERT HOLT DDS NPI 1336125384

NPI Information

NPI: 1336125384
Provider Name: DR. JOHN ROBERT HOLT, DDS
Classification: Dentist - 1223D0004X
Entity Type: Individual

Specialization: Dentist Anesthesiologist

Address:
2309 YORK AVE
LUBBOCK, TX
ZIP 79407
Phone: (806) 783-0520
Get Directions

DR. John Robert Holt, DDS is a dentist anesthesiologist dentist in Lubbock, TX. The provider is a dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology. DR. John Robert Holt, DDS NPI is 1336125384. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2309 YORK AVE
LUBBOCK, TX
ZIP 79407-286
Phone: (806) 783-0520
Fax: (806) 783-0674

The enumeration date for this NPI number is 12/21/2005 and was last updated on 11/19/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207L00000X	Anesthesiology		15567	TEXAS	No
2	1223D0004X	Dentist	Dentist Anesthesiologist	15567	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0902165	MEDICAID	TEXAS
2	U41975	MEDICARE UPIN	TEXAS
3	75-2277547	OTHER	TEXAS	FEDERAL TAX ID
4	K53H	OTHER	TEXAS	BLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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