Timothy E. Holloway, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS019961L Issued in PA

Practice address

2010 State Route 30
Ligonier, PA 15658-1172

Phone

(724) 238-6666

Fax

(724) 238-6890

NPI assigned

Jan 29, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881730992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 PRESIDENTS DR",
            "city": "LIGONIER",
            "state": "PA",
            "postal_code": "156588525",
            "telephone_number": "724-238-6026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 STATE ROUTE 30",
            "city": "LIGONIER",
            "state": "PA",
            "postal_code": "156581172",
            "telephone_number": "724-238-6666",
            "fax_number": "724-238-6890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "TIMOTHY",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS019961L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PROVIDER",
            "identifier": "133021",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Orlando Daniel Harvard
• Robin Jane Heaton, SLP
• Justin Hegedus, PT, DPT
• Lauren Heiple, DPT
• Meredith Lynn Hindle-Holt, MPT
• William Homer Jr.
• Jeffrey D Hunt, DC
• In-Sync Rehabilitation Services, Inc.
• Integrated Care Corp, Inc
• Integrated Care Corp, Inc.

• General Practice Dentistry in Ligonier, PA
• Providers in Ligonier, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.