Individual provider Active NPI

Hollymae Lindsley, DDS

  • General Practice Dentistry
  • Santa Fe, NM
National Provider Identifier
1700199932
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DD3316 Issued in NM
Practice address
4730 Beckner Rd
Santa Fe, NM 87507-3691
Phone
(505) 898-8011
NPI assigned
Jul 16, 2010
Last updated
Nov 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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 DD3316 NM Primary

Addresses

Primary practice location

4730 Beckner Rd
Santa Fe, NM 87507-3691

Mailing address

4730 Beckner Rd
Santa Fe, NM 87507-3691
Phone (505) 989-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20231227003348 NM Practitioner - Dentist 9830495282 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Medical Services CurrentSince Nov 13, 2023 Accepting new patients
Presbyterian Medical Services General Practice CurrentSince Nov 13, 2023 Accepting new patients
Presbyterian Medical Services Current Accepting new patients
Guy C Clark Past Accepting new patients
Bosque801 General Practice PastSince Jul 13, 2025 Accepting new patients

Locations

1422 Paseo de Peralta
Santa Fe, NM 87501
Phone (505) 982-5565

4730 Beckner Rd
Santa Fe, NM 87507
Phone (505) 989-4500

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1700199932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4730 BECKNER RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875073691",
            "telephone_number": "505-989-4500",
            "fax_number": "505-440-8361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 BECKNER RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875073691",
            "telephone_number": "505-898-8011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDSLEY",
        "first_name": "HOLLYMAE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-16",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD3316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.