Kylie Larue Holliday

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

39765 Issued in TX

Practice address

8222 Bruton Rd
Dallas, TX 75217-1902

Phone

(214) 398-1234

NPI assigned

Apr 24, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dental Delite PG PA

  dba Dental Delite

  • General Practice Dentistry
  • Dallas, TX
  • NPI 1700665601
  NPD
• Dental Delite of Duncanville

  • Dentist
  • Duncanville, TX
  • NPI 1558528158
  NPD (past)

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1497443980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 CITYPLACE WEST BLVD APT 437",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752040360",
            "telephone_number": "928-713-4198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8222 BRUTON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752171902",
            "telephone_number": "214-398-1234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1412 Campbell Ave",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "863011506",
            "country_code": "US",
            "telephone_number": "928-713-4198",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "938 E Highway 67",
            "address_purpose": "LOCATION",
            "city": "Duncanville",
            "state": "TX",
            "postal_code": "751372706",
            "country_code": "US",
            "telephone_number": "972-572-5990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLIDAY",
        "first_name": "KYLIE",
        "middle_name": "LARUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "39765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holley Anesthesia
• Glen Edward Holley, MD
• Teresa Baker Holley, LCSW
• Andrea Theresa Holliday, PHARMD
• James Scott Holliday, DO
• Caroline Hollier, DO
• Pierce Cameron Hollier
• Ryan Patrick Holliman, PHD, LPC
• Reginald Dwane Hollinger
• Hanna Hollingsworth, PHARMD

• General Practice Dentistry in Dallas, TX
• Providers in Dallas, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.