Michael Holloman

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Practice address

2727 N Gettysburg Ave Apt 1
Dayton, OH 45406-1613

Phone

(937) 620-8355

NPI assigned

Jan 9, 2025

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1736380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1588474860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 N GETTYSBURG AVE APT 1",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454061613",
            "telephone_number": "937-620-8355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 N GETTYSBURG AVE APT 1",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454061613",
            "telephone_number": "937-620-8355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOMAN",
        "first_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-09",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Lynn Hollingsworth, LPN
• Kali Hollingsworth, D.O.
• Meredith Hollingsworth, LPC
• Corey Hollins, PEER SUPPORT
• Holliston Holdings
• Ruth Susanna Hollomon
• Gretel E Hollon, RN
• Sabrina Cassandra Holloway-Johnson
• Allison Holloway, LMT
• Johnny Darnell Holloway Jr.

• Developmental Disabilities Clinic/Center in Dayton, OH
• Providers in Dayton, OH by specialty
• Developmental Disabilities Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.