Individual provider Active NPI

Peter L Holland, D. D. S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Denton, TX
National Provider Identifier
1013982016
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
D13756 Issued in TX
Practice address
1601 N Elm St
Suite a
Denton, TX 76201-3026
Phone
(940) 387-7717
Fax
(940) 387-1628
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X D13756 TX Primary

Addresses

Primary practice location

1601 N Elm St
Suite a
Denton, TX 76201-3026

Mailing address

1601 N Elm St
Suite a
Denton, TX 76201-3026
Phone (940) 387-7717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100923000628 TX Practitioner - Maxillofacial Surgery 9032235403 Practice locations: Denton, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D13756TXMDOral and Maxillofacial Surgery (Dentist)

Interoperability endpoints

  • Direct secure messaging: pholland31168@direct.chickasawnationhealth.net

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013982016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 N ELM ST",
            "address_2": "SUITE A",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762013026",
            "telephone_number": "940-387-7717",
            "fax_number": "940-387-1628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 N ELM ST",
            "address_2": "SUITE A",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762013026",
            "telephone_number": "940-387-7717",
            "fax_number": "940-387-1628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "PETER",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D. D. S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "D13756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

Verify at the official NPI Registry.