Andrew J Holloman, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

18076 Issued in FL

Practice address

2127 NE Coachman Rd
Clearwater, FL 33765-2631

Phone

(727) 581-1441

Fax

(727) 585-4766

NPI assigned

Jun 11, 2007

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 names 1

• Dr. Drew Holloman Other name

Medicare fee-for-service enrollment

Enrolled in FL

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

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457568000000",
    "number": "1790989200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2127 NE COACHMAN RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337652631",
            "telephone_number": "727-581-1441",
            "fax_number": "727-585-4766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2127 NE COACHMAN RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337652631",
            "telephone_number": "727-581-1441",
            "fax_number": "727-585-4766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOMAN",
        "first_name": "ANDREW",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-11",
        "last_updated": "2016-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "18076",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "5949",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DREW",
            "last_name": "HOLLOMAN",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Holiday CVS LLC
• Kyle Holland, ATC
• Randy C Holland
• Lisa D Hollett, CRNA
• Michelle Holley, ARNP
• Jennifer Holman, APRN
• Elizabeth Ellen Holmberg
• Andrea Holmes
• Shavondra Renee Holmes
• Ryan K Holt, PHARMD

• Dentist in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; 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.