Organization Active NPI

Randall W Hollenberg DDS PA

  • Point of Service
  • Katy, TX
National Provider Identifier
1487892808
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
13188 Issued in TX
Legal business name
RANDALL W HOLLENBERG DDS PA
Practice address
830 S Mason Rd Ste B2
Katy, TX 77450-3863
Phone
(281) 392-3333
NPI assigned
Jan 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Randall W Hollenberg, DDSNPI 1033233432
Title
President
Phone
(281) 392-3333

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
Point of Service 305S00000X 13188 TX Primary

Addresses

Primary practice location

830 S Mason Rd Ste B2
Katy, TX 77450-3863

Mailing address

18000 Groeschke Rd Ste D2
Houston, TX 77084-5642
Phone (281) 392-3333

National Provider Directory

National Provider Directory

Locations

18000 Groschke Rd
Ste D2
Houston, TX 77084
Phone (281) 492-8018

830 S Mason Rd
Ste B2
Katy, TX 77450
Phone (281) 392-3333

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": "1232582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1487892808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18000 GROESCHKE RD STE D2",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770845642",
            "telephone_number": "281-392-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 S MASON RD STE B2",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774503863",
            "telephone_number": "281-392-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL W HOLLENBERG DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-22",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "HOLLENBERG",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-392-3333",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "TX",
            "license": "13188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.