Fred James Hollingsworth Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10847 Issued in TN

Practice address

9225 Westland Dr # 101
Knoxville, TN 37922-5216

Phone

(865) 690-0085

NPI assigned

Jul 30, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Paul D. McGowan Jr. D.D.S.

  • Dental Clinic/Center
  • Knoxville, TN
  • NPI 1033673546
  NPD (past)

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532908800000",
    "number": "1801374277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3470 BRANDYWINE DR",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377726844",
            "telephone_number": "865-661-7290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9225 WESTLAND DR # 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379225216",
            "telephone_number": "865-690-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLINGSWORTH",
        "first_name": "FRED",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-30",
        "last_updated": "2018-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "10847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariana Citabria Holley, M.D.
• Gregory Scott Holley, PHARMD
• Joseph Eugene Holley Jr., MD
• Todd W Hollibush, PMHNP
• Caitlin Hollifield, LPC-MHSP
• John Hollingsworth, DDS
• John C Hollingsworth, CRNA
• Katelin Gowder Hollingsworth, FNP-C
• Randall Logan Hollingsworth, DPT
• Tiffany Lynn Hollingsworth

• General Practice Dentistry in Knoxville, TN
• Providers in Knoxville, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.