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MR. RAY A. HOLLOWAY DDS
NPI 1225058977
Dentist - Oral and Maxillofacial Surgery in Anchorage, AK

Active since July 19, 2006Opted out of Medicare · through Jun 16, 2028
111 W 16TH AVE, SUITE 203, ANCHORAGE, AK 99501(907) 561-1430(907) 561-2697 Get Directions Write a Review

NPPES record last updated: April 10, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mr. Ray A. Holloway Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RAY A. HOLLOWAY DDS (NPI 1225058977) is an individual oral and maxillofacial surgery provider in Anchorage, Alaska, licensed in Alaska (1077) and active in the NPI registry since July 2006. He has opted out of Medicare through June 16, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1225058977
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameMR. RAY A. HOLLOWAYCredential: DDS
Location Address111 W 16TH AVE, SUITE 203Anchorage, AK 99501-6206
Mailing Address111 W 16th Ave, Ste 203Anchorage, AK 99501-6206 · (907) 561-1430 · Fax (907) 561-2697
Phone(907) 561-1430
Fax(907) 561-2697
Sole ProprietorNo
Enumeration DateJuly 19, 2006
Last NPPES UpdateApril 10, 2008
✔ NPI 1225058977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in AK · 1077
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
111 W 16TH AVE, Anchorage, AK 99501
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Other Identifiers 3

MedicaidDD86381AK
MedicaidDD8638AK
Other1518402AK · Tri Care Provider Id

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Alaska, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Ray A. Holloway Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 16, 2014 through June 16, 2028.

Opt-Out Effective DateJune 16, 2014
Opt-Out In Effect ThroughJune 16, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$111.57 typical visit price
range $71.33 – $222.64
Typical copayment $27.89 (range $17.83 – $55.66)
Most-billed visit code 99203
Established Patient
$90.40 typical visit price
range $21.84 – $181.48
Typical copayment $22.60 (range $5.46 – $45.37)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. WILLIAM FREDERICK BERGERON JR. DDS
Dentist (Oral and Maxillofacial Surgery)
111 W 16TH AVE, SUITE 203
ANCHORAGE, AK 99501
Anchorage Municipality (907) 561-1430
ARCTIC ANESTHESIA, LLC
Nurse Anesthetist, Certified Registered
111 W 16TH AVE, UNIT 203
ANCHORAGE, AK 99501
Anchorage Municipality (907) 561-1430
ORAL SURGERY ASSOCIATES OF ALASKA
Dentist (Oral and Maxillofacial Surgery)
111 W 16TH AVE, SUITE 203
ANCHORAGE, AK 99501
Anchorage Municipality (907) 561-1430
DR. WILLIAM RANDY DEETER DDS
Dentist (Oral and Maxillofacial Surgery)
111 W 16TH AVE, SUITE 203
ANCHORAGE, AK 99501
Anchorage Municipality (907) 561-1430
SUZANNE MAYNARD, LLC
Nurse Anesthetist, Certified Registered
111 W 16TH AVE, UNIT 203
ANCHORAGE, AK 99501
Anchorage Municipality (907) 561-1430

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ray Holloway's NPI number?

The NPI number for Ray Holloway is 1225058977. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Ray Holloway located?

Ray Holloway practices at 111 W 16th Ave Suite 203, Anchorage, AK 99501. The listed phone number is (907) 561-1430.

What is Ray Holloway's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Ray Holloway enrolled in Medicare?

No. Ray Holloway has opted out of Medicare through June 16, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Ray Holloway accept?

Health plans from Delta Dental of Alaska, Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Ray Holloway as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ray Holloway was last updated on April 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.