Dana J Hollenbeck, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

2901020978 Issued in MI

Practice address

2692 S Straits Hwy
Indian River, MI 49749-9792

Phone

(231) 238-9346

NPI assigned

Jun 11, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Hollenbeck Family Dentistry PLLC

  • General Practice Dentistry
  • Petoskey, MI
  • NPI 1285556274
  NPD (past) Authorized official
• Indian River Family Dentistry PLLC

  • Dentist
  • Indian River, MI
  • NPI 1588179071
  NPD (past)

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1891133971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 SKYLINE DR",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708622",
            "telephone_number": "260-615-6720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2692 S STRAITS HWY",
            "city": "INDIAN RIVER",
            "state": "MI",
            "postal_code": "497499792",
            "telephone_number": "231-238-9346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLENBECK",
        "first_name": "DANA",
        "middle_name": "J",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-11",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901020978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Morley Guild, D.D.S.
• Tom Douglas Hardy, DDS
• Katheleen Joan Hart, LLPC
• Douglas L Hebert, DC
• Julie A Hodson, N.P.
• Suzanne C Howard, PT
• Marissa Huffman
• Kala June Hutchinson, LPC, CAADC
• Indian River Family Dentistry PLLC
• Indian River Pharmacy

• Dentist in Indian River, MI
• Providers in Indian River, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.