NPIMap

Organization Active NPI

Holland Family Dentistry, Scottsboro, LLC

  • Dentist
  • Scottsboro, AL
National Provider Identifier
1710424049
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5465 Issued in AL
Legal business name
HOLLAND FAMILY DENTISTRY, SCOTTSBORO, LLC
Practice address
416 Parks Ave
Scottsboro, AL 35768-2440
Phone
(256) 574-5121
Fax
(256) 574-5123
NPI assigned
Jan 25, 2017
Last updated
Jan 25, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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

Authorized official

Name
Alex Holland, D.M.MNPI 1982862777
Title
Dentist
Phone
(256) 574-5121

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5465 AL Primary

Addresses

Primary practice location

416 Parks Ave
Scottsboro, AL 35768-2440

Mailing address

416 Parks Ave
Scottsboro, AL 35768-2440
Phone (256) 574-5121

National Provider Directory

National Provider Directory

Locations

416 Parks Ave
Scottsboro, AL 35768
Phone (256) 574-5121

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": "1485302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485302400000",
    "number": "1710424049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 PARKS AVE",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357682440",
            "telephone_number": "256-574-5121",
            "fax_number": "256-574-5123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 PARKS AVE",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357682440",
            "telephone_number": "256-574-5121",
            "fax_number": "256-574-5123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLAND FAMILY DENTISTRY, SCOTTSBORO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-25",
        "last_updated": "2017-01-25",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "256-574-5121",
        "authorized_official_credential": "D.M.M"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AL",
            "license": "5465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsboro, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.