NPIMap

Organization Active NPI

Holden Correll DDS LLC

  • General Practice Dentistry
  • Topeka, KS
National Provider Identifier
1033507645
Registry record updated Oct 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
61008 Issued in KS
Legal business name
HOLDEN CORRELL DDS LLC
Practice address
1107 SW Gage Blvd
Suite 100
Topeka, KS 66604-1892
Phone
(785) 271-7477
NPI assigned
Jan 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2018

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

Authorized official

Name
Holden L CorrellNPI 1083053623
Title
Dentist
Phone
(785) 271-7477

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 61008 KS Primary

Addresses

Primary practice location

1107 SW Gage Blvd
Suite 100
Topeka, KS 66604-1892

Mailing address

1107 SW Gage Blvd
Suite 100
Topeka, KS 66604-1892
Phone (785) 271-7477

Other practice location 1

4102 W 6th St Ste B
Lawrence, KS 66049-4626
Phone (785) 842-7976

National Provider Directory

National Provider Directory
Tax ID family
Holden Correll2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4102 W 6th St
Ste B
Lawrence, KS 66049
Phone (785) 842-7976

1107 SW Gage Blvd
Ste 100
Topeka, KS 66604
Phone (785) 271-7477

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1420416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540166400000",
    "number": "1033507645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 SW GAGE BLVD",
            "address_2": "SUITE 100",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666041892",
            "telephone_number": "785-271-7477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 SW GAGE BLVD",
            "address_2": "SUITE 100",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666041892",
            "telephone_number": "785-271-7477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4102 W 6th St Ste B",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "KS",
            "postal_code": "660494626",
            "country_code": "US",
            "telephone_number": "785-842-7976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOLDEN CORRELL DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-05",
        "last_updated": "2018-10-22",
        "status": "A",
        "authorized_official_last_name": "CORRELL",
        "authorized_official_first_name": "HOLDEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "785-271-7477"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "61008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.