Keith Hollinger, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

18409 Issued in MA

Practice address

79 Maple Street
E Longmeadow, MA 01028

Phone

(413) 525-6821

Fax

(413) 525-5280

NPI assigned

Mar 22, 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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 15, 2019 through Mar 15, 2027

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.

• Maple Dental Associates

  • General Practice Dentistry
  • East Longmeadow, MA
  • NPI 1194874545
  NPD (past)
• Central Connecticut Orofacial Sleep Medicine Inc

  • Oral and Maxillofacial Pathology Dentistry
  • Glastonbury, CT
  • NPI 1225508526
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346366002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 MAPLE STREET",
            "city": "E LONGMEADOW",
            "state": "MA",
            "postal_code": "01028",
            "telephone_number": "413-525-6821",
            "fax_number": "413-525-5280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 MAPLE STREET",
            "city": "E LONGMEADOW",
            "state": "MA",
            "postal_code": "01028",
            "telephone_number": "413-525-6821",
            "fax_number": "413-525-5280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLINGER",
        "first_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "18409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL",
            "identifier": "0188",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MA",
            "identifier": "V05123",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MA GROUP",
            "identifier": "X10693",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Capuano Private Home Care Inc
• Rosemary Castonguay, MED
• East Point Foot & Ankle PC
• Lisa B Emirzian, DMD
• Kristen Hayes
• Robert S Howe, MD
• Linda Krasnow
• Lisa B Emirzian DMD & Assoc
• Larry A Litscher, M.D.
• Vincent James Mariano Jr., DMD

• General Practice Dentistry in E Longmeadow, MA
• Providers in E Longmeadow, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.