Active NPI
Timothy Holzhauer, DMD
- Dentist
- Trumbull, CT
National Provider Identifier
1538455670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 010800
- Practice address
- 888 White Plains Rd
Trumbull, CT 06611-4552 - Phone
- (203) 268-5881
- NPI assigned
- Jun 28, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 010800 | CT | Primary |
Addresses
Primary practice location
888 White Plains Rd
Trumbull, CT 06611-4552
Mailing address
51 Welles Dr
Newington, CT 06111-2626
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160916000438 | CT | Order and Referring Only - Dentist | 2264728344 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342051200000",
"number": "1538455670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 WELLES DR",
"city": "NEWINGTON",
"state": "CT",
"postal_code": "061112626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "888 WHITE PLAINS RD",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "066114552",
"telephone_number": "203-268-5881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLZHAUER",
"first_name": "TIMOTHY",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-28",
"last_updated": "2012-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CT",
"license": "010800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Trumbull, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; 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.