Davida Ann Hollerman, M.S., D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7837 Issued in TN

Practice address

525 N Main St
Memphis, TN 38105-1635

Phone

(877) 664-8664

Fax

(901) 525-5407

NPI assigned

Mar 25, 2008

Sex

Female

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 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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.

• Davida a. Hollerman D.M.D., P.C.

  • General Practice Dentistry
  • Memphis, TN
  • NPI 1457579872
  NPD (past) Authorized official

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308528000000",
    "number": "1487826806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 S JEFFERSON PL",
            "address_2": "5",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381055257",
            "telephone_number": "901-679-6090",
            "fax_number": "901-525-5407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N MAIN ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381051635",
            "telephone_number": "877-664-8664",
            "fax_number": "901-525-5407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLERMAN",
        "first_name": "DAVIDA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.S., D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-25",
        "last_updated": "2011-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "7837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3206720",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Christine Holland, FNP-C
• Ethan Holland, MD
• Margaret Holland
• Kaley Hollander, PHARMD
• Timothy Holler, LPC-MHSP
• Holly Denise Holley-Harrison, APRN
• Caroline Hill Holley, MD
• Yolanda Charmaine Holley, OTR
• James N Holliday, PHD, MD
• Krystle E Holliday, CFNP

• General Practice Dentistry in Memphis, TN
• Providers in Memphis, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2011; 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.