NPIMap

Organization Active NPI

Tim R. Holland, D.D.S., P.a.

  • Dental Clinic/Center
  • Owatonna, MN
National Provider Identifier
1356712574
Registry record updated Oct 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
10750 Issued in MN
Legal business name
TIM R. HOLLAND, D.D.S., P.A.
Doing business as
Holland Family Dental
Practice address
605 Hillcrest Ave
Suite 230
Owatonna, MN 55060-3680
Phone
(507) 451-7250
Fax
(507) 451-1011
NPI assigned
Oct 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2015

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

Authorized official

Name
Dr. Tim Roger Holland, DDSNPI 1013064468
Title
Owner
Phone
(507) 451-7250

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 10750 MN Primary

Addresses

Primary practice location

605 Hillcrest Ave
Suite 230
Owatonna, MN 55060-3680

Mailing address

605 Hillcrest Ave
Suite 230
Owatonna, MN 55060-3680
Phone (507) 451-7250

Other names 1

  • Holland Family Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Holland Family Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

605 Hillcrest Ave
Ste 230
Owatonna, MN 55060
Phone (507) 451-7250

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": "1444780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444780800000",
    "number": "1356712574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 HILLCREST AVE",
            "address_2": "SUITE 230",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550603680",
            "telephone_number": "507-451-7250",
            "fax_number": "507-451-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 HILLCREST AVE",
            "address_2": "SUITE 230",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550603680",
            "telephone_number": "507-451-7250",
            "fax_number": "507-451-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIM R. HOLLAND, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-14",
        "last_updated": "2015-10-14",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "ROGER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-451-7250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MN",
            "license": "10750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holland Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Owatonna, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; 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.