Craig Bruce Hollingsworth, DDS PEDODONTIST

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

24460 Issued in CA

Practice address

2650 21St St
#7
Sacramento, CA 95818

Phone

(916) 452-5231

Fax

(916) 452-5294

NPI assigned

Jul 18, 2006

Sex

Male

Sole proprietor

No

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, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912925504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 21ST ST",
            "address_2": "#7",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95818",
            "telephone_number": "916-452-5231",
            "fax_number": "916-452-5294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 21ST ST",
            "address_2": "#7",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95818",
            "telephone_number": "916-452-5231",
            "fax_number": "916-452-5294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLINGSWORTH",
        "first_name": "CRAIG",
        "middle_name": "BRUCE",
        "credential": "DDS PEDODONTIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "24460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra D Hollie
• Renata G Holliman, NP
• Margaret Hollinbeck, MFT
• Jennifer Holling
• Julia Rushing Hollingshead, AMFT
• Dennis Jay Hollingsworth, MA, LMFT
• Holly Nicole Hollingsworth
• Miguel Hollingsworth
• Shakara Hollins
• Jacklyn Ann Hollis

• All providers in Sacramento, CA
• Pediatric Dentistry in California

• 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.