Heather Burns Holley, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

AL5333 Issued in AL

Practice address

109 Hospital Dr
Livingston, AL 35470

Phone

(205) 652-4607

Fax

(205) 652-4609

NPI assigned

Jan 30, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215074307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 HOSPITAL DR",
            "city": "LIVINGSTON",
            "state": "AL",
            "postal_code": "35470",
            "telephone_number": "205-652-4607",
            "fax_number": "205-652-4609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 HOSPITAL DR",
            "city": "LIVINGSTON",
            "state": "AL",
            "postal_code": "35470",
            "telephone_number": "205-652-4607",
            "fax_number": "205-652-4609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLEY",
        "first_name": "HEATHER",
        "middle_name": "BURNS",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "AL5333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF ALABAMA",
            "identifier": "51532884",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan O Hall, MAT, LAT, ATC
• Judy H Harwell, LPC
• Helen'S Haven Wellness Center
• Laura Yvette Hernandez, M.S, A.T.C
• John Darrell Hoggle, D.M.D.
• Hope Counseling Services
• Hope for Families and Community Services, Inc.
• Amber Mae Howell
• Brogan Scott Hubbard
• Kaleigh Hunt

• General Practice Dentistry in Livingston, AL
• Providers in Livingston, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.