Active NPI
Donald Lee Holtzclaw, DPM
- Podiatrist
- Danville, KY
National Provider Identifier
1215929302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 00121
- Practice address
- 1077 E Lexington Ave
Danville, KY 40422-1766 - Phone
- (859) 236-3142
- Fax
- (859) 236-3142
- NPI assigned
- Aug 16, 2005
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 00121 | KY | Primary |
Addresses
Primary practice location
1077 E Lexington Ave
Danville, KY 40422-1766
Mailing address
2625 Lexington Rd
Danville, KY 40422-9797
Phone (859) 236-1927
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80001217 | Medicaid | KY |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00121 | KY | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1215929302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2625 LEXINGTON RD",
"city": "DANVILLE",
"state": "KY",
"postal_code": "404229797",
"telephone_number": "859-236-1927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1077 E LEXINGTON AVE",
"city": "DANVILLE",
"state": "KY",
"postal_code": "404221766",
"telephone_number": "859-236-3142",
"fax_number": "859-236-3142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLTZCLAW",
"first_name": "DONALD",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-16",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "KY",
"license": "00121",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "80001217",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Danville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.