Active NPI
Holly Elizabeth Grace, MD
- Radiation Oncology Physician
- Dallas, TX
National Provider Identifier
1417697756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- BP10087483
- Practice address
- 2280 Inwood Rd
Dallas, TX 75235-7321 - Phone
- (214) 645-8525
- Fax
- (203) 863-3446
- NPI assigned
- Apr 1, 2022
- Last updated
- Jun 21, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Radiation Oncology Physician | 2085R0001X | BP10087483 | TX | Primary |
Addresses
Primary practice location
2280 Inwood Rd
Dallas, TX 75235-7321
Mailing address
2280 Inwood Rd
Dallas, TX 75235-7321
Phone (214) 645-8525
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10087483 | TX | MD | Radiation Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718928000000",
"number": "1417697756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2280 INWOOD RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752357321",
"telephone_number": "214-645-8525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2280 INWOOD RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752357321",
"telephone_number": "214-645-8525",
"fax_number": "203-863-3446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRACE",
"first_name": "HOLLY",
"middle_name": "ELIZABETH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-01",
"last_updated": "2024-06-21",
"certification_date": "2024-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "TX",
"license": "BP10087483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.