Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACOB CARL HOLTZMAN DDS
NPI 1184116071
Dentist in Kansas City, MO

Q: What is Jacob Holtzman's NPI number?

The NPI number for Jacob Holtzman is 1184116071. It was assigned to this individual provider in the NPPES registry on June 6, 2018.

Q: What is Jacob Holtzman's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Holtzman was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 06, 2018PECOS Enrolled

3801 DR MARTIN LUTHER KING JR BLVD, KANSAS CITY, MO 64130(816) 599-5500 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 29, 2026, May 27, 2026, Apr 24, 2026 and 14 more (17 updates tracked since 2020).

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About Jacob Carl Holtzman Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB CARL HOLTZMAN DDS (NPI 1184116071) is an individual dentist in Kansas City, Missouri, licensed in Missouri (2018018268) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Kansas City.

NPPES Registry Identity

NPI1184116071

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameJACOB CARL HOLTZMANCredential: DDS

Location Address3801 DR MARTIN LUTHER KING JR BLVDKansas City, MO 64130-2807

Mailing Address3801 Dr Martin Luther King Jr BlvdKansas City, MO 64130-2807 · (816) 599-5500

Phone(816) 599-5500

Sole ProprietorNo

Enumeration DateJune 6, 2018

Last NPPES UpdateJuly 29, 202617 updates tracked since enumeration

NPPES CertifiedJuly 29, 2026

✔ NPI 1184116071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MO · 2018018268

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

3801 DR MARTIN LUTHER KING JR BLVD, Kansas City, MO 64130

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Secondary Practice Location 1

Location 14736 Prospect AveKansas City, MO 64130-2602 · Phone (816) 923-5800

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Carl Holtzman Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64130 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.82 typical visit price

range $55.29 – $168.52

Typical copayment $21.45 (range $13.82 – $42.13)

Most-billed visit code 99203

Established Patient

$69.10 typical visit price

range $17.60 – $137.20

Typical copayment $17.27 (range $4.40 – $34.30)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. EBERECHUKWU VIVIAN OKPAREKE FNP-BC

Nurse Practitioner (Family)