McKenzie Williams Holloway, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

6465 Issued in LA

Practice address

3301 Veterans Memorial Blvd
Suite 203
Metairie, LA 70002-7657

Phone

(504) 833-6825

NPI assigned

May 27, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1457763377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4705 PALMETTO RD. SUITE #C",
            "address_2": "4670 PALMETTO RD",
            "city": "BENTON",
            "state": "LA",
            "postal_code": "71006",
            "telephone_number": "318-965-5700",
            "fax_number": "318-965-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 VETERANS MEMORIAL BLVD",
            "address_2": "SUITE 203",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700027657",
            "telephone_number": "504-833-6825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "MCKENZIE",
        "middle_name": "WILLIAMS",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-27",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "6465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vellanie M Holliday- Williams
• Ajane' J. Holliday
• Mary Hollinger, PHARMD
• Chaunese Sue Hollins
• Debra Ann Stumpf Hollister, D.O.
• Seth Holloway, DPT
• Trevonya Holloway
• Catherine Holmes- Leblanc
• Angel Holmes
• Ashley V Holmes, BS

• Dentist in Metairie, LA
• Providers in Metairie, LA by specialty
• Dentist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.