Andrew Holovnia

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

36080 Issued in TX

Practice address

445 S Denton Tap Rd Ste 110
Coppell, TX 75019-3368

Phone

(727) 849-4246

Fax

(972) 393-6876

NPI assigned

Jun 13, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Andrew Holovnia D.M.D.

  • Dental Clinic/Center
  • Coppell, TX
  • NPI 1457975039
  NPD Authorized official
• Vincent J Monticciolo

  • Dental Clinic/Center
  • New Port Richey, FL
  • NPI 1760658413
  NPD (past)

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590796800000",
    "number": "1811556707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 N AKARD ST APT 2811",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752014481",
            "telephone_number": "952-237-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 S DENTON TAP RD STE 110",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750193368",
            "telephone_number": "727-849-4246",
            "fax_number": "972-393-6876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLOVNIA",
        "first_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-13",
        "last_updated": "2020-05-30",
        "certification_date": "2020-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN24292",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "36080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hibiscus Counseling, PLLC
• Denise Renee Hines, LCSW
• Chalon Hollas, CRNA
• Mary Holmes
• Patricia Holmes, DDS
• Mark Walker Holt, M.D.
• Soomin Hong, D.D.S, M.S.D.
• Janna Leigh Horner, LPC
• Katelyn Cierra Howard, PT, DPT
• Kaylyn Howard, PHARMD

• General Practice Dentistry in Coppell, TX
• Providers in Coppell, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2020; 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.