Troy Holder, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12010264 Issued in IN

Practice address

224 N Wayne St
Angola, IN 46703-1548

Phone

(765) 742-3100

Fax

(765) 742-0152

NPI assigned

May 8, 2007

Sex

Male

Sole proprietor

No

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 IN

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

Practice roles

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

• Troy N. Holder DDS, Inc.

  • Dental Clinic/Center
  • Angola, IN
  • NPI 1851869184
  NPD (past)

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541376000000",
    "number": "1285847061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 N WAYNE ST",
            "city": "ANGOLA",
            "state": "IN",
            "postal_code": "467031548",
            "telephone_number": "260-665-7517",
            "fax_number": "260-665-7517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 N WAYNE ST",
            "city": "ANGOLA",
            "state": "IN",
            "postal_code": "467031548",
            "telephone_number": "765-742-3100",
            "fax_number": "765-742-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDER",
        "first_name": "TROY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2018-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200286270",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Henry County Memorial Hospital (Aperion Care Angola)
• Leah L Hicks, FNPC, MSN, BSN, RN
• Kierstin High
• Jody Hill
• Stephanie R Hine, DPT
• Holicki Optical Inc
• Cameron Holicki, DO
• Hollingsworth Medical, LLC
• Kendee Hollstein
• Jennifer Diane Holman, RPH

• General Practice Dentistry in Angola, IN
• Providers in Angola, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; 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.