Active NPI
John D Hollander DPM Inc
- Foot & Ankle Surgery Podiatrist
- Santa Rosa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E2845
- Legal business name
- JOHN D HOLLANDER DPM INC
- Practice address
- 95 Montgomery Dr Ste 114
Santa Rosa, CA 95404-6617 - Phone
- (707) 578-1222
- Fax
- (707) 578-8348
- NPI assigned
- May 1, 2007
- Last updated
- Oct 6, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John Dirk Hollander, DPM
- Title
- Podiatrist Owner
- Phone
- (707) 578-1222
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E2845 | CA | Primary |
Addresses
Primary practice location
95 Montgomery Dr Ste 114
Santa Rosa, CA 95404-6617
Mailing address
95 Montgomery Dr Ste 114
Santa Rosa, CA 95404-6617
Phone (707) 578-1222
National Provider Directory
National Provider DirectoryLocations
555 Petaluma Ave
Ste 8
Sebastopol, CA 95472
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Foot & Ankle Surgery Podiatrist
- Santa Rosa, CA
- NPI 1104822758
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1601942400000",
"number": "1184845802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 MONTGOMERY DR STE 114",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954046617",
"telephone_number": "707-578-1222",
"fax_number": "707-578-8348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 MONTGOMERY DR STE 114",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954046617",
"telephone_number": "707-578-1222",
"fax_number": "707-578-8348"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN D HOLLANDER DPM INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-01",
"last_updated": "2020-10-06",
"certification_date": "2020-10-06",
"status": "A",
"authorized_official_last_name": "HOLLANDER",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "DIRK",
"authorized_official_title_or_position": "PODIATRIST OWNER",
"authorized_official_telephone_number": "707-578-1222",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "E2845",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.