Active NPI
Hollynd Estrada, CRDH
- Dental Hygienist
- Holloman AFB, NM
National Provider Identifier
1790467728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 10380
- Practice address
- 280 David L Goldfein St BLDG 23
Holloman AFB, NM 88330-8273 - Phone
- (575) 572-8094
- NPI assigned
- Aug 1, 2023
- Last updated
- Dec 17, 2024
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 10380 | SC | Primary |
Addresses
Primary practice location
280 David L Goldfein St BLDG 23
Holloman AFB, NM 88330-8273
Mailing address
PSC 41 Box 6597
Apo, AE 09464-0066
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734393600000",
"number": "1790467728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "MIL",
"address_1": "PSC 41 BOX 6597",
"city": "APO",
"state": "AE",
"postal_code": "094640066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 DAVID L GOLDFEIN ST BLDG 23",
"city": "HOLLOMAN AFB",
"state": "NM",
"postal_code": "883308273",
"telephone_number": "575-572-8094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTRADA",
"first_name": "HOLLYND",
"credential": "CRDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-01",
"last_updated": "2024-12-17",
"certification_date": "2024-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "SC",
"license": "10380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Holloman AFB, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.