Organization Active NPI

Andy Hollifield, D.M.D., P.a.

  • General Practice Dentistry
  • Kings Mountain, NC
National Provider Identifier
1619270618
Registry record updated Dec 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7442 Issued in NC
Legal business name
ANDY HOLLIFIELD, D.M.D., P.A.
Practice address
203 S Juniper St
Kings Mountain, NC 28086-3220
Phone
(704) 739-7588
Fax
(704) 739-4352
NPI assigned
Dec 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2010

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

Authorized official

Name
Dr. Michael Andrew Hollifield, D.M.D
Title
Dentist
Phone
(704) 739-7588

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 7442 NC Primary

Addresses

Primary practice location

203 S Juniper St
Kings Mountain, NC 28086-3220

Mailing address

203 S Juniper St
Kings Mountain, NC 28086-3220
Phone (704) 739-7588

National Provider Directory

National Provider Directory

Locations

203 S Juniper St
Kings Mtn, NC 28086
Phone (704) 739-7588

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1619270618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 S JUNIPER ST",
            "city": "KINGS MOUNTAIN",
            "state": "NC",
            "postal_code": "280863220",
            "telephone_number": "704-739-7588",
            "fax_number": "704-739-4352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S JUNIPER ST",
            "city": "KINGS MOUNTAIN",
            "state": "NC",
            "postal_code": "280863220",
            "telephone_number": "704-739-7588",
            "fax_number": "704-739-4352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDY HOLLIFIELD, D.M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-13",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "HOLLIFIELD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "704-739-7588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kings Mountain, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; 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.