Justin Cody Hollingshead, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS030141L Issued in PA

Practice address

196 S Washington St
Greencastle, PA 17225-1332

Phone

(717) 597-7424

NPI assigned

May 22, 2007

Sex

Male

Sole proprietor

No

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 PA

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

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.

• Antrim Dental Care LLC

  • General Practice Dentistry
  • Greencastle, PA
  • NPI 1811106230

  General Practice

  NPD (past) Authorized official

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425427200000",
    "number": "1508075995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4133 W WEAVER RD",
            "city": "GREENCASTLE",
            "state": "PA",
            "postal_code": "172258607",
            "telephone_number": "717-597-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 S WASHINGTON ST",
            "city": "GREENCASTLE",
            "state": "PA",
            "postal_code": "172251332",
            "telephone_number": "717-597-7424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLINGSHEAD",
        "first_name": "JUSTIN",
        "middle_name": "CODY",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2015-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS030141L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heritage in Home Care Services, Inc
• Ninoshka Hernandez Rivera
• Marianne Herr Paul, DO
• Alicia Hey, PA-C
• Alisha Holdcroft
• Leanna Hollingshead, CRNP
• Hope Counseling and Wellness, LLC
• Laurie Horst, B.S.E.D
• Taryn Paige Jacoby
• Claire T. Kaufmann

• All providers in Greencastle, PA
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; 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.