NPIMap

Organization Active NPI

Holman Dental PLLC

  • General Practice Dentistry
  • Austin, TX
National Provider Identifier
1669813911
Registry record updated Jul 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15708 Issued in TX
Legal business name
HOLMAN DENTAL PLLC
Practice address
8741 N Lamar Blvd
Austin, TX 78753-5423
Phone
(512) 835-2345
NPI assigned
Jul 16, 2013
Last updated
Jul 16, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2013

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

Authorized official

Name
Dung Dang, DDSNPI 1972653764
Title
Manager
Phone
(512) 835-2345

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 15708 TX Primary

Addresses

Primary practice location

8741 N Lamar Blvd
Austin, TX 78753-5423

Mailing address

8741 N Lamar Blvd
Austin, TX 78753-5423

Other identifiers 1

IdentifierTypeStateIssuer
289087301MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Holman Dental PLLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373932800000",
    "number": "1669813911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8741 N LAMAR BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787535423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8741 N LAMAR BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787535423",
            "telephone_number": "512-835-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLMAN DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-16",
        "last_updated": "2013-07-16",
        "status": "A",
        "authorized_official_last_name": "DANG",
        "authorized_official_first_name": "DUNG",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "512-835-2345",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "15708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "289087301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; 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.