Active NPI
Erik Konrad Holz, D.M.D.
- Dentist
- Seminole, FL
National Provider Identifier
1639552185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN 21330
- Practice address
- 9200 113TH St
Seminole, FL 33772-2800 - Phone
- (727) 394-6064
- Fax
- (727) 394-6098
- NPI assigned
- Jul 1, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 | DN 21330 | FL | Primary |
Addresses
Primary practice location
9200 113TH St
Seminole, FL 33772-2800
Mailing address
9200 113TH St
Seminole, FL 33772-2800
Phone (727) 394-6064
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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 |
|---|---|---|---|---|
| I20161117002561 | FL | Order and Referring Only - Other (Physician) | 9032498886 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN 21330 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435708800000",
"number": "1639552185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9200 113TH ST",
"city": "SEMINOLE",
"state": "FL",
"postal_code": "337722800",
"telephone_number": "727-394-6064",
"fax_number": "727-394-6098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9200 113TH ST",
"city": "SEMINOLE",
"state": "FL",
"postal_code": "337722800",
"telephone_number": "727-394-6064",
"fax_number": "727-394-6098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLZ",
"first_name": "ERIK",
"middle_name": "KONRAD",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-01",
"last_updated": "2015-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN 21330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seminole, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; 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.