Neil Davis Hollyfield, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

0438000165 Issued in VA

Practice address

645 Park Blvd
Marion, VA 24354

Phone

(276) 783-8131

Fax

(276) 783-1839

NPI assigned

Aug 19, 2006

Last updated

Jul 19, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: neil.hollyfield.1@14083.direct.athenahealth.com

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.

• Appalachian Oral & Maxillofacial Surgery LTD

  • Oral and Maxillofacial Surgery (Dentist)
  • Marion, VA
  • NPI 1386714996
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279497600000",
    "number": "1730293465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 PARK BLVD",
            "city": "MARION",
            "state": "VA",
            "postal_code": "24354",
            "telephone_number": "276-783-8131",
            "fax_number": "276-783-1839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 PARK BLVD",
            "city": "MARION",
            "state": "VA",
            "postal_code": "24354",
            "telephone_number": "276-783-8131",
            "fax_number": "276-783-1839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLYFIELD",
        "first_name": "NEIL",
        "middle_name": "DAVIS",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2010-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401005753",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "VA",
            "license": "0438000165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9178619",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anita Hawks Henley, D.O.
• Bryan Henley, DO
• Jessica R Hill, R.N., M.S.N, N.P.-C
• Lily Handel Hodges, M.D.
• Gay Alesia Holbrook, LPC
• Dawn Holman, M.D.
• Hope on the Farm, Inc
• Harry William Howe, PA-C
• Shannon Alisha Howell, O.D.
• Angela R Hughes, CFNP

• Oral and Maxillofacial Surgery (Dentist) in Marion, VA
• Providers in Marion, VA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.