Organization Active NPI

Craig B Hollingsworth DDS Inc

  • Pediatric Dentistry
  • Sacramento, CA
National Provider Identifier
1679976013
Registry record updated Sep 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
24460 Issued in CA
Legal business name
CRAIG B HOLLINGSWORTH DDS INC
Practice address
2650 21St St. #7
Sacramento, CA 95818-2539
Phone
(916) 452-5231
Fax
(916) 452-5294
NPI assigned
Sep 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2014

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

Authorized official

Name
Dr. Craig B. Hollingsworth
Title
Owner / President
Phone
(916) 452-5231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 24460 CA Primary

Addresses

Primary practice location

2650 21St St. #7
Sacramento, CA 95818-2539

Mailing address

2650 21St St. #7
Sacramento, CA 95818-2539
Phone (916) 452-5231

National Provider Directory

National Provider Directory
Tax ID family
Craig B Hollingsworth DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2650 21st St
Ste 7
Sacramento, CA 95818
Phone (916) 452-5231

NPI Registry JSON

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

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412035200000",
    "number": "1679976013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 21ST ST. #7",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958182539",
            "telephone_number": "916-452-5231",
            "fax_number": "916-452-5294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 21ST ST. #7",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958182539",
            "telephone_number": "916-452-5231",
            "fax_number": "916-452-5294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG B HOLLINGSWORTH DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-30",
        "last_updated": "2014-09-30",
        "status": "A",
        "authorized_official_last_name": "HOLLINGSWORTH",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "916-452-5231",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "24460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; 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.