Individual provider Active NPI

William Alexander Hollis, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Murfreesboro, TN
National Provider Identifier
1871527648
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
4207 Issued in TN
Practice address
1120 Dow St
Murfreesboro, TN 37130-2486
Phone
(615) 890-8000
NPI assigned
Jul 10, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 4207 TN Primary

Addresses

Primary practice location

1120 Dow St
Murfreesboro, TN 37130-2486

Mailing address

1120 Dow St
Murfreesboro, TN 37130-2486
Phone (615) 890-8000

Other identifiers 1

IdentifierTypeStateIssuer
4042092OtherTNBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20160801001963 TN Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8426222993

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4207TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Murfreesboro Oral Surgery Oral and Maxillofacial Surgery PastSince Jul 1, 1998 Accepting new patients
Harmony Health Medical Inc PastSince Sep 27, 2020 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871527648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 DOW ST",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371302486",
            "telephone_number": "615-890-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 DOW ST",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371302486",
            "telephone_number": "615-890-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIS",
        "first_name": "WILLIAM",
        "middle_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TN",
            "license": "4207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4042092",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.