Individual provider Active NPI

Elizabeth Lauren Hoy, DMD

  • General Practice Dentistry
  • Charlotte, NC
National Provider Identifier
1306159389
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10236 Issued in NC
Practice address
3014 Baucom Rd Ste 200
Charlotte, NC 28269-2393
Phone
(704) 596-3186
NPI assigned
Jul 20, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS038374 PA
Dentist 122300000X 10236 NC
General Practice Dentistry 1223G0001X 10236 NC Primary

Addresses

Primary practice location

3014 Baucom Rd Ste 200
Charlotte, NC 28269-2393

Mailing address

3014 Baucom Rd Ste 200
Charlotte, NC 28269-2393
Phone (704) 596-3186

Other identifiers 2

IdentifierTypeStateIssuer
10236OtherNCNC DENTAL BOARD
DS038374OtherPADENTAL LICENSE

Other names 1

  • Dr. Elizabeth Lauren Hollenbeck Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS038374PAMDGeneral Practice Dentistry
10236NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Brian P McNulty & Luis L Dancausse, DDS General Practice CurrentSince Feb 6, 2022 Accepting new patients
Natalie C Martinez-Rogers DMD PA General Practice Past Accepting new patients

Locations

3014 Baucom Rd
Ste 200
Charlotte, NC 28269
Phone (704) 596-3186

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1306159389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3014 BAUCOM RD STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282692393",
            "telephone_number": "704-596-3186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3014 BAUCOM RD STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282692393",
            "telephone_number": "704-596-3186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOY",
        "first_name": "ELIZABETH",
        "middle_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-20",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS038374",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "10236",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "10236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC DENTAL BOARD",
            "identifier": "10236",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "DS038374",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "HOLLENBECK",
            "middle_name": "LAUREN",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.