Tamara Reiko Holliday, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE60172193 Issued in WA

Practice address

11021 Evanston Ave N
Seattle, WA 98133-8218

Phone

(206) 779-5066

NPI assigned

Aug 13, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1281657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281657600000",
    "number": "1689989600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11021 EVANSTON AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981338218",
            "telephone_number": "206-779-5066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11021 EVANSTON AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981338218",
            "telephone_number": "206-779-5066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIDAY",
        "first_name": "TAMARA",
        "middle_name": "REIKO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-13",
        "last_updated": "2010-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60172193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amie Lynn Hollard, MD
• Julia Hollenberg, MS, RDN, CD, RYT
• Evan Holleran, MD
• Amy Susan Holley, PH.D.
• Susan R Holliday, PHD
• Kayla Hollimon
• Aspen Brooke Hollingsworth
• Brian Hollingsworth, LMP
• Kimberly Hollins, CERTIFIED COUNSELOR
• Derek Hollinsworth-Terran

• General Practice Dentistry in Seattle, WA
• Providers in Seattle, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; 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.

Verify at the official NPI Registry.