Active NPI
Justin Lee Hollinsworth, DMD
- Dentist
- Milton, KY
National Provider Identifier
1023795002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 10998
- Practice address
- 25 Agin Way
Milton, KY 40045-1509 - Phone
- (502) 268-3192
- NPI assigned
- Jun 30, 2023
- Last updated
- Jun 30, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 10998 | KY | Primary |
Addresses
Primary practice location
25 Agin Way
Milton, KY 40045-1509
Mailing address
25 Agin Way
Milton, KY 40045-1509
Phone (502) 268-3192
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10998 | KY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milton Family Dental, PLLC | Dentist | Past | Accepting new patients |
| Embry & O Connor Inc | Dentist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dentist
- Milton, KY
- NPI 1952385999
-
- Dentist
- Milton, KY
- NPI 1013379296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688083200000",
"number": "1023795002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 AGIN WAY",
"city": "MILTON",
"state": "KY",
"postal_code": "400451509",
"telephone_number": "502-268-3192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 AGIN WAY",
"city": "MILTON",
"state": "KY",
"postal_code": "400451509",
"telephone_number": "502-268-3192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLINSWORTH",
"first_name": "JUSTIN",
"middle_name": "LEE",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-30",
"last_updated": "2023-06-30",
"certification_date": "2023-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KY",
"license": "10998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milton, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.