Active NPI
Jeffrey Walton Holzinger, DDS
- General Practice Dentistry
- Bonita Springs, FL
National Provider Identifier
1750559266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7273
- Practice address
- 9200 Bonita Beach Rd SE
Suite #112
Bonita Springs, FL 34135-4280 - Phone
- (239) 992-2279
- Fax
- (239) 992-3364
- NPI assigned
- Feb 19, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7273 | FL | Primary |
Addresses
Primary practice location
9200 Bonita Beach Rd SE
Suite #112
Bonita Springs, FL 34135-4280
Mailing address
9200 Bonita Beach Rd SE
Suite #112
Bonita Springs, FL 34135
Phone (239) 992-2279
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 4, 2023 through Jan 4, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7273 | FL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203379200000",
"number": "1750559266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9200 BONITA BEACH RD SE",
"address_2": "SUITE #112",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "34135",
"telephone_number": "239-992-2279",
"fax_number": "239-992-3364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9200 BONITA BEACH RD SE",
"address_2": "SUITE #112",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "341354280",
"telephone_number": "239-992-2279",
"fax_number": "239-992-3364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLZINGER",
"first_name": "JEFFREY",
"middle_name": "WALTON",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-19",
"last_updated": "2008-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "7273",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bonita Springs, FL
- Holiday CVS LLC
- Holistic Health Medical Center and Med Spa LLC
- Holistic Health Physical Therapy and Wellness
- Brent J Holleran, M.D.
- Jessie Lynn Hollinger, P.A.
- Home Again Oxygen and Mobility Products
- Hope Counseling
- Chantal Houle, DVM
- Jeremy Daniel Howard, ATC, CES, PES
- Hsre-Ahr Bonita Springs TRS LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.