Alfred W Hollis III

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

048753 Issued in NY

Practice address

157 Lake Ave
Saratoga Springs, NY 12866-2532

Phone

(518) 584-1400

Fax

(518) 584-1028

NPI assigned

Apr 13, 2012

Last updated

Apr 13, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334275200000",
    "number": "1821355926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 LAKE AVE",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128662532",
            "telephone_number": "518-584-1400",
            "fax_number": "518-584-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 LAKE AVE",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128662532",
            "telephone_number": "518-584-1400",
            "fax_number": "518-584-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIS",
        "first_name": "ALFRED",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-13",
        "last_updated": "2012-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "048753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Hohle, PA
• Barbara Clare Hoin, RPH
• Joy Fujii Holcomb, NP
• Holding the Light Mental Health Counseling PLLC
• Timothy Patrick Holley, PA
• Heidi Homer
• Hometown Primary Optometry PLLC
• Heather Boehme Hopkins, PT
• Tammy Lynn Horan
• Jennifer C Horn, MA, ATR-BC, LCAT

• General Practice Dentistry in Saratoga Springs, NY
• Providers in Saratoga Springs, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2012; 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.