HOLDA ALICE ELIZONDO DDS
NPI 1659407146
Dentist - General Practice in Pearland, TX

Active since February 26, 2007Opted out of Medicare · through May 31, 2028
5523 WEST BROADWAY, PEARLAND, TX 77581(281) 997-2001(281) 997-0173 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Holda Alice Elizondo Dds NPPES

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

HOLDA ALICE ELIZONDO DDS (NPI 1659407146) is an individual general practice provider in Pearland, Texas, licensed in Texas (16563) and active in the NPI registry since February 2007. She has opted out of Medicare through May 31, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1659407146
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameHOLDA ALICE ELIZONDOCredential: DDS
Location Address5523 WEST BROADWAYPearland, TX 77581
Mailing Address5523 West BroadwayPearland, TX 77581 · (281) 997-2001 · Fax (281) 997-0173
Fax(281) 997-0173
Sole ProprietorNo
Enumeration DateFebruary 26, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1659407146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in TX · 16563
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
5523 WEST BROADWAY, Pearland, TX 77581

Accepted 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

Holda Alice Elizondo 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 May 31, 2016 through May 31, 2028.

Opt-Out Effective DateMay 31, 2016
Opt-Out In Effect ThroughMay 31, 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 77581 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
$88.15 typical visit price
range $57.16 – $172.89
Typical copayment $22.03 (range $14.29 – $43.22)
Most-billed visit code 99203
Established Patient
$71.28 typical visit price
range $18.45 – $141.27
Typical copayment $17.82 (range $4.61 – $35.31)
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.

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 Holda Elizondo's NPI number?

The NPI number for Holda Elizondo is 1659407146. It was assigned to this individual provider in the NPPES registry on February 26, 2007.

Where is Holda Elizondo located?

Holda Elizondo practices at 5523 West Broadway, Pearland, TX 77581. The listed phone number is (281) 997-2001.

What is Holda Elizondo's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Holda Elizondo enrolled in Medicare?

No. Holda Elizondo has opted out of Medicare through May 31, 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 Holda Elizondo accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Holda Elizondo 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 Holda Elizondo was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.