Active NPI
Daniel A Holzhauer, DDS, MS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Hartland, WI
National Provider Identifier
1093956138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 3236
- Practice address
- 520 Hartbrook Dr
Hartland, WI 53029-1402 - Phone
- (262) 367-7076
- Fax
- (262) 367-0994
- NPI assigned
- Mar 19, 2009
- Last updated
- Mar 19, 2009
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 3236 | WI | Primary |
Addresses
Primary practice location
520 Hartbrook Dr
Hartland, WI 53029-1402
Mailing address
520 Hartbrook Dr
Hartland, WI 53029-1402
Phone (262) 367-7076
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3236 | WI | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Organizations & group practices 1
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Hartland, WI
- NPI 1710070230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237420800000",
"number": "1093956138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 HARTBROOK DR",
"city": "HARTLAND",
"state": "WI",
"postal_code": "530291402",
"telephone_number": "262-367-7076",
"fax_number": "262-367-0994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 HARTBROOK DR",
"city": "HARTLAND",
"state": "WI",
"postal_code": "530291402",
"telephone_number": "262-367-7076",
"fax_number": "262-367-0994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLZHAUER",
"first_name": "DANIEL",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DDS, MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-03-19",
"last_updated": "2009-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "WI",
"license": "3236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hartland, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.