Organization Active NPI

Holley Family Dentistry

  • General Practice Dentistry
  • Portsmouth, VA
National Provider Identifier
1306032610
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0470107431 Issued in VA
Legal business name
HOLLEY FAMILY DENTISTRY
Practice address
446 Effingham St
Portsmouth, VA 23704-3416
Phone
(757) 393-2401
Fax
(757) 595-3816
NPI assigned
Sep 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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

Authorized official

Name
Dr. James W Holley IV, D.D.S.
Title
Owner/President
Phone
(757) 595-3503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 0470107431 VA Primary

Addresses

Primary practice location

446 Effingham St
Portsmouth, VA 23704-3416

Mailing address

446 Effingham St
Portsmouth, VA 23704-3416
Phone (757) 393-2401

Other identifiers 1

IdentifierTypeStateIssuer
7831587MedicaidVA

National Provider Directory

National Provider Directory

Locations

9916 Warwick Blvd
Newport News, VA 23601

446 Effingham St
Ste 200
Portsmouth, VA 23704

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1306032610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 EFFINGHAM ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237043416",
            "telephone_number": "757-393-2401",
            "fax_number": "757-595-3816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 EFFINGHAM ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237043416",
            "telephone_number": "757-393-2401",
            "fax_number": "757-595-3816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLEY FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "HOLLEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "757-595-3503",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0470107431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7831587",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.