Individual provider Active NPI

Marc Joel Hollander, D.D.S.

  • General Practice Dentistry
  • Gahanna, OH
National Provider Identifier
1659326999
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15447 Issued in OH
Practice address
118 N Hamilton Rd
Gahanna, OH 43230-2602
Phone
(614) 475-7228
Fax
(614) 475-7231
NPI assigned
May 24, 2006
Last updated
Sep 10, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 15447 OH Primary

Addresses

Primary practice location

118 N Hamilton Rd
Gahanna, OH 43230-2602

Mailing address

118 N Hamilton Rd
Gahanna, OH 43230-2602
Phone (614) 475-7228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20150618002002 OH Order and Referring Only - DentistPractitioner - Dentist 1951612845

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15447OHMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189382400000",
    "number": "1659326999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 N HAMILTON RD",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432302602",
            "telephone_number": "614-475-7228",
            "fax_number": "614-475-7231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 N HAMILTON RD",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432302602",
            "telephone_number": "614-475-7228",
            "fax_number": "614-475-7231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLANDER",
        "first_name": "MARC",
        "middle_name": "JOEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2007-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "15447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gahanna, OH

Sources for this page

Verify at the official NPI Registry.