Individual provider Active NPI

Holly Linn Santago, DDS

  • Dentist
  • Knightdale, NC
National Provider Identifier
1841637345
Registry record updated Aug 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9526 Issued in NC
Practice address
1008 Big Oak CT
Suite C
Knightdale, NC 27545-6566
Phone
(919) 266-3380
Fax
(919) 266-3319
NPI assigned
May 24, 2013
Last updated
Aug 7, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9526 NC Primary

Addresses

Primary practice location

1008 Big Oak CT
Suite C
Knightdale, NC 27545-6566

Mailing address

1008 Big Oak CT
Suite C
Knightdale, NC 27545-6566
Phone (919) 266-3380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151216000641 NC Order and Referring Only - DentistPractitioner - Dentist 8820399892

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9526NCMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1369353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407369600000",
    "number": "1841637345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 BIG OAK CT",
            "address_2": "SUITE C",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275456566",
            "telephone_number": "919-266-3380",
            "fax_number": "919-266-3319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 BIG OAK CT",
            "address_2": "SUITE C",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275456566",
            "telephone_number": "919-266-3380",
            "fax_number": "919-266-3319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTAGO",
        "first_name": "HOLLY",
        "middle_name": "LINN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-24",
        "last_updated": "2014-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "9526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knightdale, NC

Sources for this page

Verify at the official NPI Registry.