Active NPI
Holly Springs Family Dentistry
- Dentist
- Holly Springs, NC
National Provider Identifier
1265604193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7601
- Legal business name
- HOLLY SPRINGS FAMILY DENTISTRY
- Practice address
- 190 Rosewood Center Drive
Suite 200
Holly Springs, NC 27540 - Phone
- (919) 290-2772
- Fax
- (919) 270-2773
- NPI assigned
- Apr 1, 2008
- 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
- Mr. Matthew Austin Taylor
- Title
- Practice Manager
- Phone
- (919) 290-2772
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7601 | NC | Primary |
Addresses
Primary practice location
190 Rosewood Center Drive
Suite 200
Holly Springs, NC 27540
Mailing address
190 Rosewood Center Drive
Suite 200
Holly Springs, NC 27540
Phone (919) 290-2772
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89902VV | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
190 Rosewood Centre Dr
Ste 200
Holly Springs, NC 27540
Phone (919) 290-2772
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Holly Springs, NC
- NPI 1700813466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207008000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219104000000",
"number": "1265604193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 ROSEWOOD CENTER DRIVE",
"address_2": "SUITE 200",
"city": "HOLLY SPRINGS",
"state": "NC",
"postal_code": "27540",
"telephone_number": "919-290-2772",
"fax_number": "919-270-2773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 ROSEWOOD CENTER DRIVE",
"address_2": "SUITE 200",
"city": "HOLLY SPRINGS",
"state": "NC",
"postal_code": "27540",
"telephone_number": "919-290-2772",
"fax_number": "919-270-2773"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLLY SPRINGS FAMILY DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-01",
"last_updated": "2008-08-19",
"status": "A",
"authorized_official_last_name": "TAYLOR",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "AUSTIN",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "919-290-2772",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "NC",
"license": "7601",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89902VV",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Holly Springs, NC
- Holly Springs Chiropractic PA
- Holly Springs Counseling Center
- Holly Springs Direct Primary Care, PLLC
- Holly Springs Ear, Nose, Throat & Allergy, PC
- Holly Springs Eye and Laser PLLC
- Holly Springs Feeding & Speech
- Holly Springs Medical Center, PA
- Holly Springs Neurology PA
- Holly Springs Pediatrics
- Holly Springs Pharmacy LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.