Amy Joanne Petering Holman, D.D.S.

Key facts

NPI: 1669644142
Entity type: Individual (NPI type 1)
Primary specialty: General Practice Dentistry 1223G0001X
License: 30020884 (OH)
Practice address: 4960 Cemetery Rd
Suite a
Hilliard, OH 43026-1622
Phone: (614) 876-1161
NPI assigned: Mar 25, 2008
Sex: Female
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

A.J.Holman D.D.S.& C.a.Holman D.D.S.,Inc Dentist · Hilliard, OH · NPI 1801030580

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
30020884	OH	MD	General Practice Dentistry

Practice roles

Organization	Specialty	Status	New patients
A.J.Holman D.D.S.& C.a.Holman D.D.S.,Inc		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
General Practice Dentistry	1223G0001X	30020884	OH	Yes

Addresses

Primary practice location

4960 Cemetery Rd
Suite a
Hilliard, OH 43026-1622

Mailing address

4960 Cemetery Rd
Suite a
Hilliard, OH 43026-1622
Phone (614) 876-1161

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 25, 2008.

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206403200000",
    "number": "1669644142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4960 CEMETERY RD",
            "address_2": "SUITE A",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430261622",
            "telephone_number": "614-876-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4960 CEMETERY RD",
            "address_2": "SUITE A",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430261622",
            "telephone_number": "614-876-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERING HOLMAN",
        "first_name": "AMY",
        "middle_name": "JOANNE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-25",
        "last_updated": "2008-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30020884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilliard, OH

All providers in Hilliard, OH · General Practice Dentistry in Ohio

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2008. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.