Active NPI
Seth Adam Holland, DMD
- Dentist
- Eugene, OR
National Provider Identifier
1639512254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D10019
- Practice address
- 330 S Garden Way Ste 190
Eugene, OR 97401-8184 - Phone
- (541) 747-0101
- Fax
- (541) 747-6494
- NPI assigned
- Apr 12, 2013
- Last updated
- Jun 13, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D10019 | OR | Primary |
| Dentist | 122300000X | TD-00-58 | NM | |
| General Practice Dentistry | 1223G0001X | D10019 | OR |
Addresses
Primary practice location
330 S Garden Way Ste 190
Eugene, OR 97401-8184
Mailing address
330 S Garden Way # 190a
Eugene, OR 97401-8176
Phone (541) 686-4953
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TD-00-58 | NM | MD | Dentist |
| D10019 | OR | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sleep Better Oregon, LLC | Dentist | Current | Accepting new patients |
Locations
330 S Garden Way
Ste 190
Eugene, OR 97401
Phone (541) 747-0101
330 S Garden Way
Ste 190A
Eugene, OR 97401
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Snooze Oregon
- Customized Equipment (DME)
- Eugene, OR
- NPI 1730820135
Dentist
-
- General Practice Dentistry
- Springfield, OR
- NPI 1184163024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718236800000",
"number": "1639512254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 S GARDEN WAY # 190A",
"city": "EUGENE",
"state": "OR",
"postal_code": "974018176",
"telephone_number": "541-686-4953",
"fax_number": "541-747-6494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 S GARDEN WAY STE 190",
"city": "EUGENE",
"state": "OR",
"postal_code": "974018184",
"telephone_number": "541-747-0101",
"fax_number": "541-747-6494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLAND",
"first_name": "SETH",
"middle_name": "ADAM",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-12",
"last_updated": "2024-06-13",
"certification_date": "2022-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OR",
"license": "D10019",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NM",
"license": "TD-00-58",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OR",
"license": "D10019",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.