Active NPI
Holly Haldeman-Collins, DDS
- General Practice Dentistry
- Grafton, WV
National Provider Identifier
1790190304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4107
- Practice address
- 711 N Pike St
Grafton, WV 26354-1221 - Phone
- (304) 265-4600
- Fax
- (304) 265-6008
- NPI assigned
- Jun 23, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4107 | WV | Primary |
Addresses
Primary practice location
711 N Pike St
Grafton, WV 26354-1221
Mailing address
25 W Bluemont St
Grafton, WV 26354-1242
Phone (304) 265-0312
Other practice location 1
725 N Pike St
Grafton, WV 26354-1270
Phone (304) 265-4909
Other practice location 2
132 Cortland Acres Ln
Thomas, WV 26292-8070
Phone (304) 259-5225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210603003231 | WV | Order and Referring Only - Dentist | 8527467935 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786060800000",
"number": "1790190304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 W BLUEMONT ST",
"city": "GRAFTON",
"state": "WV",
"postal_code": "263541242",
"telephone_number": "304-265-0312",
"fax_number": "304-265-0314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 N PIKE ST",
"city": "GRAFTON",
"state": "WV",
"postal_code": "263541221",
"telephone_number": "304-265-4600",
"fax_number": "304-265-6008"
}
],
"practiceLocations": [
{
"address_1": "725 N Pike St",
"address_purpose": "LOCATION",
"city": "Grafton",
"state": "WV",
"postal_code": "263541270",
"country_code": "US",
"telephone_number": "304-265-4909",
"fax_number": "304-265-4915",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "132 Cortland Acres Ln",
"address_purpose": "LOCATION",
"city": "Thomas",
"state": "WV",
"postal_code": "262928070",
"country_code": "US",
"telephone_number": "304-259-5225",
"fax_number": "304-463-3375",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HALDEMAN-COLLINS",
"first_name": "HOLLY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-23",
"last_updated": "2026-08-07",
"certification_date": "2026-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WV",
"license": "4107",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grafton, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; 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.