Active NPI
Richard Holiday, DMD
- Dentist
- Monsey, NY
National Provider Identifier
1780715946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 053217-1
- Practice address
- 2 Pearl Dr
Monsey, NY 10952-1214 - Phone
- (845) 712-5133
- Fax
- (845) 517-0751
- NPI assigned
- Mar 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 053217-1 | NY | Primary |
Addresses
Primary practice location
2 Pearl Dr
Monsey, NY 10952-1214
Mailing address
102 McNamara Rd
Spring Valley, NY 10977-1406
Phone (845) 499-9693
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 053217-1 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404950400000",
"number": "1780715946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 MCNAMARA RD",
"city": "SPRING VALLEY",
"state": "NY",
"postal_code": "109771406",
"telephone_number": "845-499-9693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 PEARL DR",
"city": "MONSEY",
"state": "NY",
"postal_code": "109521214",
"telephone_number": "845-712-5133",
"fax_number": "845-517-0751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLIDAY",
"first_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-08",
"last_updated": "2014-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "053217-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monsey, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.