Organization Active NPI

Holderness Plastic Surgery

  • Specialist
  • Greensboro, NC
National Provider Identifier
1710436423
Registry record updated Sep 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
3310 Issued in NC
Legal business name
HOLDERNESS PLASTIC SURGERY
Practice address
500 E Cornwallis Dr
Suite F
Greensboro, NC 27405-5681
Phone
(336) 275-0919
Fax
(336) 275-4849
NPI assigned
Sep 23, 2016
Last updated
Sep 23, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2016

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

Authorized official

Name
Dr. Howard Holderness Jr., M.D.NPI 1962504837
Title
Member, Owner
Phone
(336) 275-0919

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
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 3310 NC Primary

Addresses

Primary practice location

500 E Cornwallis Dr
Suite F
Greensboro, NC 27405-5681

Mailing address

500 E Cornwallis Dr
Suite F
Greensboro, NC 27405-5681
Phone (336) 275-0919

National Provider Directory

National Provider Directory

Locations

500 E Cornwallis Dr
Ste F
Greensboro, NC 27405
Phone (336) 275-0919

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": "1474588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474588800000",
    "number": "1710436423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E CORNWALLIS DR",
            "address_2": "SUITE F",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274055681",
            "telephone_number": "336-275-0919",
            "fax_number": "336-275-4849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E CORNWALLIS DR",
            "address_2": "SUITE F",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274055681",
            "telephone_number": "336-275-0919",
            "fax_number": "336-275-4849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLDERNESS PLASTIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-23",
        "last_updated": "2016-09-23",
        "status": "A",
        "authorized_official_last_name": "HOLDERNESS",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "MEMBER, OWNER",
        "authorized_official_telephone_number": "336-275-0919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "3310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; 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.