Active NPI
Linda Ann Holliday, DMD
- Dentist
- Lake Worth, FL
National Provider Identifier
1407028640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN14066
- Practice address
- 119 N M St
Lake Worth, FL 33460-3419 - Phone
- (561) 582-2446
- Fax
- (561) 588-4480
- NPI assigned
- Mar 27, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN14066 | FL | Primary |
Addresses
Primary practice location
119 N M St
Lake Worth, FL 33460-3419
Mailing address
119 N M St
Lake Worth, FL 33460-3419
Phone (561) 582-2446
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590206 | Other | FL | UNITED CONCORDIA |
| 64681 | Other | FL | BLUE CROSS BLUE SHIELD |
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN14066 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206576000000",
"number": "1407028640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 N M ST",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334603419",
"telephone_number": "561-582-2446",
"fax_number": "561-588-4480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 N M ST",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334603419",
"telephone_number": "561-582-2446",
"fax_number": "561-588-4480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLIDAY",
"first_name": "LINDA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-27",
"last_updated": "2008-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN14066",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "590206",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "64681",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake Worth, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.