Individual provider Active NPI

Daniel Mark Holsinger, D.D.S., M.D.S.

  • Pediatric Dentistry
  • Brentwood, TN
National Provider Identifier
1497076418
Registry record updated Sep 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
9278 Issued in TN
Practice address
95 Seaboard LN Ste 102
Brentwood, TN 37027-3037
Phone
(615) 377-3080
Fax
(615) 377-3088
NPI assigned
Jun 14, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 9278 TN Primary

Addresses

Primary practice location

95 Seaboard LN Ste 102
Brentwood, TN 37027-3037

Mailing address

95 Seaboard LN Ste 102
Brentwood, TN 37027-3037
Phone (615) 377-3080

Other identifiers 1

IdentifierTypeStateIssuer
Q014908MedicaidTN

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

LicenseStateTypeSpecialty
9278TNMDPediatric Dentist

NPI Registry JSON

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

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1497076418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 SEABOARD LN STE 102",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370273037",
            "telephone_number": "615-377-3080",
            "fax_number": "615-377-3088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 SEABOARD LN STE 102",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370273037",
            "telephone_number": "615-377-3080",
            "fax_number": "615-377-3088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLSINGER",
        "first_name": "DANIEL",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-14",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TN",
            "license": "9278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q014908",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; 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.