Active NPI
Valerie Van Holleman, DDS
- Dentist
- Broken Arrow, OK
National Provider Identifier
1811086846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5791
- Practice address
- 1656 N 9TH St
Broken Arrow, OK 74012-8495 - Phone
- (918) 893-3414
- NPI assigned
- Oct 11, 2006
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 5791 | OK | Primary |
Addresses
Primary practice location
1656 N 9TH St
Broken Arrow, OK 74012-8495
Mailing address
1656 N 9TH St
Broken Arrow, OK 74012-8495
Phone (918) 893-3414
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5791 | OK | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371600000000",
"number": "1811086846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1656 N 9TH ST",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740128495",
"telephone_number": "918-893-3414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1656 N 9TH ST",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740128495",
"telephone_number": "918-893-3414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLEMAN",
"first_name": "VALERIE",
"middle_name": "VAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-11",
"last_updated": "2013-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OK",
"license": "5791",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Broken Arrow, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.