Shanna Couch Holliday

Primary specialty

DentistTaxonomy code 122300000X

License

7633 Issued in KY

Legal business name

SHANNA COUCH HOLLIDAY

Practice address

251 Morton Blvd
Hazard, KY 41701-9470

Phone

(606) 439-1079

NPI assigned

Jan 23, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Shanna Holliday, DMD

Title

Owner

Phone

(606) 439-1069

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shanna Couch Holliday, D.M.D.

  • General Practice Dentistry
  • Hazard, KY
  • NPI 1508901166
  NPD (past)
• Brian Edward Deaton, D.M.D.

  • General Practice Dentistry
  • Hazard, KY
  • NPI 1225163405
  NPD (past)

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

{
    "created_epoch": "1327276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327276800000",
    "number": "1881965879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 799",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417020799",
            "telephone_number": "606-439-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 MORTON BLVD",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019470",
            "telephone_number": "606-439-1079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNA COUCH HOLLIDAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-23",
        "last_updated": "2012-01-23",
        "status": "A",
        "authorized_official_last_name": "HOLLIDAY",
        "authorized_official_first_name": "SHANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-439-1069",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "KY",
            "license": "7633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60000262",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Sexton, PT
• Valerie Sexton
• Wykendia Sexton
• Mahsa Shahrokhi, MD
• Uday T.R. Shankar, M.D.
• Mukut Sharma, M.D.
• Valerie Shell
• Brenda Shepherd
• Kathy Shepherd
• Marion L Shepherd, APRN

• Dentist in Hazard, KY
• Providers in Hazard, KY by specialty
• Dentist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.