Individual provider Active NPI

David Ayrton Holland, MD

  • Family Medicine Physician
  • El Paso, TX
National Provider Identifier
1801972351
Registry record updated Apr 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J5994 Issued in TX
Practice address
7430 Remcon Cir BLDG a
El Paso, TX 79912-3519
Phone
(915) 584-0051
Fax
(915) 833-1114
NPI assigned
Oct 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X J5994 TX Primary

Addresses

Primary practice location

7430 Remcon Cir BLDG a
El Paso, TX 79912-3519

Mailing address

7430 Remcon Cir BLDG a
El Paso, TX 79912-3519
Phone (915) 584-0051

Other practice location 1

601 University Dr
San Marcos, TX 78666-4684
Phone (512) 245-2161

Other identifiers 3

IdentifierTypeStateIssuer
P00400701OtherTXPALMETTO
136083610MedicaidTX
487366YLPSOtherTXWELLMED PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070426000592 TX Practitioner - Family Practice 3173629847 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
J5994TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care, P.a. Current Accepting new patients
Edward C. Juarez, MD, PA Family Medicine Past Accepting new patients
Gary Grindstaff Dpmpa Past Accepting new patients
American Current Care, P.a. Past Accepting new patients

Locations

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

4025 Spid Dr
Corpus Christi, TX 78411
Phone (361) 852-8255

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554681600000",
    "number": "1801972351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7430 REMCON CIR BLDG A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799123519",
            "telephone_number": "915-584-0051",
            "fax_number": "915-833-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7430 REMCON CIR BLDG A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799123519",
            "telephone_number": "915-584-0051",
            "fax_number": "915-833-1114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 University Dr",
            "address_purpose": "LOCATION",
            "city": "San Marcos",
            "state": "TX",
            "postal_code": "786664684",
            "country_code": "US",
            "telephone_number": "512-245-2161",
            "fax_number": "512-245-9288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "DAVID",
        "middle_name": "AYRTON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2019-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J5994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO",
            "identifier": "P00400701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136083610",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMED PTAN",
            "identifier": "487366YLPS",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.