Active NPI
Erik Stefan Holsen, DMD
- General Practice Dentistry
- Venice, FL
National Provider Identifier
1154051100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 26981
- Practice address
- 12152 Mercado Dr
Venice, FL 34293-1155 - Phone
- (941) 786-0897
- NPI assigned
- Jun 13, 2022
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 26981 | FL | Primary |
Addresses
Primary practice location
12152 Mercado Dr
Venice, FL 34293-1155
Mailing address
400 Treviso Grand Cir Unit 211
Nokomis, FL 34275-3296
Phone (864) 517-4136
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 |
|---|---|---|---|
| 26981 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comfortable Care Dental Health Professionals, P.a. | General Practice | Current | Accepting new patients |
Locations
12152 Mercado Dr
Venice, FL 34293
Phone (941) 786-0897
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 and National Provider Directory roles.
-
- General Practice Dentistry
- Venice, FL
- NPI 1992310866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655078400000",
"number": "1154051100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 TREVISO GRAND CIR UNIT 211",
"city": "NOKOMIS",
"state": "FL",
"postal_code": "342753296",
"telephone_number": "864-517-4136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12152 MERCADO DR",
"city": "VENICE",
"state": "FL",
"postal_code": "342931155",
"telephone_number": "941-786-0897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLSEN",
"first_name": "ERIK",
"middle_name": "STEFAN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-13",
"last_updated": "2022-06-13",
"certification_date": "2022-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "26981",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Venice, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.