Individual provider Active NPI

Holland K Killian, D.M.D.

  • General Practice Dentistry
  • Littleton, CO
National Provider Identifier
1831572155
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
203935 Issued in CO
Practice address
5021 S Jellison Way Unit C
Littleton, CO 80123-7377
Phone
(720) 608-5557
NPI assigned
Jul 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 203935 CO Primary

Addresses

Primary practice location

5021 S Jellison Way Unit C
Littleton, CO 80123-7377

Mailing address

5021 S Jellison Way Unit C
Littleton, CO 80123-7378
Phone (720) 608-5557

Other names 1

  • Dr. Holland Katheryn Moreau Professional name

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

LicenseStateTypeSpecialty
203935COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Empire Dental 2, LLC PastSince Dec 1, 2019 Accepting new patients
Timothy a Schwartz DDS PastSince Dec 1, 2019 Accepting new patients

Organizations & group practices 2

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": "1436140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1831572155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5021 S JELLISON WAY UNIT C",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801237378",
            "telephone_number": "720-608-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5021 S JELLISON WAY UNIT C",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801237377",
            "telephone_number": "720-608-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLIAN",
        "first_name": "HOLLAND",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-06",
        "last_updated": "2022-01-18",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "203935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLAND",
            "last_name": "MOREAU",
            "middle_name": "KATHERYN",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; 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.