DR. JOHN ROBERT HOLT (NPI# 1336125384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336125384 |
| Entity Type | Individual |
| Full Name | DR. JOHN ROBERT HOLT |
| Credential | DDS |
| Practice Address |
2309 York Ave Lubbock TX 79407-2286 |
| Practice Telephone | 8067830520 |
| Practice Fax Number | 8067830674 |
| Mailing Telephone | 8067830520 |
| Mailing Fax Number | 8067830674 |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2013-11-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 15567 | TX | Allopathic & Osteopathic Physicians |
| Y | 1223D0004X |
Dentist Specialization: Dentist Anesthesiologist |
15567 | TX | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 0902165 | 05 | |
| TX | BLUE CROSS BLUE SHIELD | K53H | 01 |
| TX | FEDERAL TAX ID | 75-2277547 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639573082 | John Bradley Holt | Occupational Therapist | 2212 S Cedar Ln Apt 203, Ft Oglethorpe, GA 30742-3329 | 2014-10-14 |
| 1871787408 | John Alexander Holt | Pediatrics | 4148 Nw 35th St, Gainesville, FL 32605-1487 | 2007-08-27 |
| 1740482256 | John Atkinson Holt Jr. | Acupuncturist | 220 South Pine St., Telluride, CO 81435-2461 | 2007-06-05 |
| 1851393714 | John Benjamin Holt | Dentist | 5 N Shore Rd, Lake Oswego, OR 97034-3827 | 2005-08-11 |
| 1891318499 | John Holt | Behavior Technician | 6859 Belfort Oaks Pl, Jacksonville, FL 32216-6242 | 2020-05-19 |
| 1275007726 | John Charles Holt | Student in an Organized Health Care Education/Training Program | 2316 Walker Building, Auburn University, AL 36849-0001 | 2019-01-17 |
| 1598285462 | John Holt | Dentist | 7935 Constitution Ave Ste 110, Colorado Springs, CO 80951-8903 | 2017-06-22 |
| 1659791077 | John Holt | Registered Nurse | 1390 E 20th St, Farmington, NM 87401-9037 | 2014-04-24 |
| 1477849362 | John Holt | Pharmacist | 624 West Main Street, Rite Aid, Norwich, CT 06360 | 2011-06-20 |
| 1801121629 | John Francis Holt | Counselor | 2400 S 48th St, Springdale, AR 72762-6683 | 2009-10-13 |
| Street Address |
2309 YORK AVE |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79407-2286 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275155731 | Bryce Olson Pt, LLC | Physical Therapist | 6014 45th St Ste C Lubbock, Tx 79407, 6014 45th St Ste C Lubbock, Tx 79407, Lubbock, TX 79407 | 2020-05-07 |
| 1235762923 | Fnu Sindhuja Gunasekaran | Physical Therapist | 6014 45th Street, Lubbock, TX 79407 | 2020-02-20 |
| 1770987554 | Amanda Moore | Occupational Therapist | 6548 43rd St, Lubbock, TX 79407 | 2014-10-22 |
| 1336565639 | Best Eye Visioncare, Pllc | Optometrist | 6020 34th Street, Lubbock, TX 79407 | 2014-03-11 |
| 1003249210 | Costco Wholesale Corporation | Pharmacy | 6020 34th St, Lubbock, TX 79407 | 2013-08-12 |
| 1225304686 | Community Health Center of Lubbock, Inc. | Clinic/Center | 5424 19th St Ste 200, Lubbock, TX 79407 | 2012-03-29 |
| 1023385879 | Medway Medical Equipment IIi LLC | Durable Medical Equipment & Medical Supplies | 3448 W Loop 289, Lubbock, TX 79407 | 2011-11-22 |
| 1801102553 | Jennifer Hobbs Williams | Nurse Practitioner | 1910 Quaker Ave Ste 101, Lubbock, TX 79407 | 2010-08-19 |
| 1780901496 | Joni Rodriguez | Counselor | 1611 Ave K, Lubbock, TX 79407 | 2010-04-21 |
| 1073776860 | Southwest Regional PCr, LLC | Clinical Medical Laboratory | 2002 W Loop 289 Ste 116, Lubbock, TX 79407 | 2008-07-02 |
| Find all providers in zip 79407 | ||||
| Taxonomy Code | 1223D0004X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dentist Anesthesiologist |
| 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. |
| Notes: Source: The American Society of Dentist Anesthesiologists [1/1/2013: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265914923 | Hill Country Special Care Dental Center, Pllc | Dentist | 30745 Us Highway 281 N # 103, Bulverde, TX 78163-3291 | 2018-08-29 |
| 1811363807 | Ryne Patrick Wilson | Dentist | 4500 Narrowbrook Dr, Flower Mound, TX 75028-6030 | 2015-08-13 |
| 1386052751 | Vmax Dental | Dentist | 110 N Preston Rd, Suite 10, Prosper, TX 75078-8643 | 2014-07-29 |
| 1194148841 | Albert Kang, Dds Inc | Dentist | 22202 Estate Hill Dr Apt 15207, San Antonio, TX 78258-3550 | 2014-01-31 |
| 1093147852 | Albert Byoungoh Kang | Dentist | 22202 Estate Hill Dr # 15207, San Antonio, TX 78258-3398 | 2013-08-04 |
| 1518276740 | Hunter Ross Stuart II | Dentist | 2408 N Fielder Rd, Arlington, TX 76012-5531 | 2010-10-05 |
| 1649426891 | Mohit Sharda | Dentist | 5999 Custer Rd, Suite # 125, Frisco, TX 75035-9302 | 2008-08-07 |
| 1871759621 | Iris Lo | Dentist | 3401 Royal Vista Blvd Ste A100, Round Rock, TX 78681-1149 | 2008-07-31 |
| 1154500247 | Andrea M Bell | Dentist | 625 El Gusto Dr, El Paso, TX 79912-2517 | 2007-10-25 |
| 1114050002 | Bryan Neal Henderson II | Dentist | 8325 Walnut Hill Ln Ste 235, Dallas, TX 75231-4255 | 2007-03-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.