Individual provider Active NPI

Brittany Lynn Holeman, D.M.D.

  • Dentist
  • Crestwood, KY
National Provider Identifier
1205248499
Registry record updated Feb 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9448 Issued in KY
Practice address
8815 W Highway 22
Crestwood, KY 40014-8011
Phone
(502) 241-8856
NPI assigned
May 22, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9448 KY Primary

Addresses

Primary practice location

8815 W Highway 22
Crestwood, KY 40014-8011

Mailing address

8815 W Highway 22
Crestwood, KY 40014-8011
Phone (502) 241-8856

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150508000311 KY Order and Referring Only - DentistPractitioner - Dentist 5698094985

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9448KYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518480000000",
    "number": "1205248499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8815 W HIGHWAY 22",
            "city": "CRESTWOOD",
            "state": "KY",
            "postal_code": "400148011",
            "telephone_number": "502-241-8856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8815 W HIGHWAY 22",
            "city": "CRESTWOOD",
            "state": "KY",
            "postal_code": "400148011",
            "telephone_number": "502-241-8856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLEMAN",
        "first_name": "BRITTANY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-22",
        "last_updated": "2018-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "9448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestwood, KY

Sources for this page

Verify at the official NPI Registry.