Jim D. Holloway, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS 005078 Issued in TN

Practice address

2217 Olan Mills Dr
Chattanooga, TN 37421-1891

Phone

(423) 240-4319

Fax

(423) 894-7790

NPI assigned

Mar 19, 2007

Last updated

Mar 16, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Winn Smiles Shallowford, PLLC

  • Dentist
  • Chattanooga, TN
  • NPI 1821768789
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458086400000",
    "number": "1275657876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 OLAN MILLS DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211891",
            "telephone_number": "423-240-4319",
            "fax_number": "423-894-7790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 OLAN MILLS DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211891",
            "telephone_number": "423-240-4319",
            "fax_number": "423-894-7790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "JIM",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2016-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS 005078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Michael Hollie, MD
• Michael C Hollie, M.D.
• Shalmai Drake Hollingshead, CPM
• Mellita Hollis
• Amy Holloway
• Susan Pearce Holloway, RPH
• Holly Wade LCSW LLC
• Alyse Holmes, CRNA
• Autumn J. Holmes, MSN, NP-C
• Cicley Holmes

• General Practice Dentistry in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; 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.