NPIMap

Organization Active NPI

Dane L. Hollis,D.D.S.,P.C.

  • Dental Clinic/Center
  • Rogers, AR
National Provider Identifier
1891808580
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
3060 Issued in AR
Legal business name
DANE L. HOLLIS,D.D.S.,P.C.
Practice address
14533 E Highway 12
Rogers, AR 72756-8087
Phone
(479) 925-3632
NPI assigned
Aug 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Dane L Hollis, D.D.S.NPI 1023121712
Title
President
Phone
(479) 925-3632

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 3060 AR Primary

Addresses

Primary practice location

14533 E Highway 12
Rogers, AR 72756-8087

Mailing address

14533 E Highway 12
Rogers, AR 72756-8087
Phone (479) 925-3632

National Provider Directory

National Provider Directory

Locations

14533 E Highway 12
Rogers, AR 72756
Phone (479) 925-3632

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891808580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14533 E HIGHWAY 12",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727568087",
            "telephone_number": "479-925-3632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14533 E HIGHWAY 12",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727568087",
            "telephone_number": "479-925-3632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANE L. HOLLIS,D.D.S.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLLIS",
        "authorized_official_first_name": "DANE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-925-3632",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AR",
            "license": "3060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.