Individual provider Active NPI

Emma Christine Hoilman, DDS

  • Endodontics
  • Johnson City, TN
National Provider Identifier
1619255270
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DS10268 Issued in TN
Practice address
2335 Knob Creek Rd
Suite 101
Johnson City, TN 37604
Phone
(423) 926-4167
Fax
(814) 486-0425
NPI assigned
Aug 1, 2011
Last updated
Aug 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X DS10268 TN Primary

Addresses

Primary practice location

2335 Knob Creek Rd
Suite 101
Johnson City, TN 37604

Mailing address

206 Hidden Forest Court
Jonesborough, TN 37659
Phone (814) 486-0909

Other identifiers 1

IdentifierTypeStateIssuer
1007763960007MedicaidPA

Other names 1

  • Emma Christine Hunter Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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

Enrollment IDStateProvider typePAC IDDetails
I20160414001834 WV Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1850699430

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS10268TNMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1312156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1619255270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 HIDDEN FOREST COURT",
            "city": "JONESBOROUGH",
            "state": "TN",
            "postal_code": "37659",
            "telephone_number": "814-486-0909",
            "fax_number": "814-486-0425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 KNOB CREEK RD",
            "address_2": "SUITE 101",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "37604",
            "telephone_number": "423-926-4167",
            "fax_number": "814-486-0425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOILMAN",
        "first_name": "EMMA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-01",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TN",
            "license": "DS10268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007763960007",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMMA",
            "last_name": "HUNTER",
            "middle_name": "CHRISTINE",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.