DR. DANNY JACK HOLTZCLAW DDS, MS
NPI 1669434650
Dentist - Periodontics in Round Rock, TX

Active since April 05, 2006PECOS Enrolled
4010 SANDY BROOK DR STE 204, ROUND ROCK, TX 78665(512) 375-0500(512) 682-9009 Get Directions Write a Review

NPPES record last updated: December 23, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Danny Jack Holtzclaw Dds, Ms NPPES

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

DR. DANNY JACK HOLTZCLAW DDS, MS (NPI 1669434650) is an individual periodontics provider in Round Rock, Texas, licensed in Texas (20329) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669434650
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. DANNY JACK HOLTZCLAWCredential: DDS, MS
Location Address4010 SANDY BROOK DR STE 204Round Rock, TX 78665-1518
Mailing Address4010 Sandy Brook Dr Ste 204Round Rock, TX 78665-1518 · (512) 375-0050 · Fax (512) 682-9009
Fax(512) 682-9009
Sole ProprietorNo
Enumeration DateApril 5, 2006
Last NPPES UpdateDecember 23, 2020
NPPES CertifiedDecember 23, 2020
NPI 1669434650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in TX · 20329
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 20329 (TX)
4010 SANDY BROOK DR STE 204, Round Rock, TX 78665

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Danny Jack Holtzclaw Dds, Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78665 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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 4

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

Dentist (General Practice)
4010 SANDY BROOK DR STE 204
ROUND ROCK, TX 78665
Dentist (Oral and Maxillofacial Surgery)
4010 SANDY BROOK DR STE 204
ROUND ROCK, TX 78665
Dentist (General Practice)
4010 SANDY BROOK DR STE 204
ROUND ROCK, TX 78665
Dentist (General Practice)
4010 SANDY BROOK DR STE 204
ROUND ROCK, TX 78665

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 Danny Holtzclaw's NPI number?

The NPI number for Danny Holtzclaw is 1669434650. It was assigned to this individual provider in the NPPES registry on April 5, 2006.

Where is Danny Holtzclaw located?

Danny Holtzclaw practices at 4010 Sandy Brook Dr Ste 204, Round Rock, TX 78665. The listed phone number is (512) 375-0500.

What is Danny Holtzclaw's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Danny Holtzclaw enrolled in Medicare?

Yes. Danny Holtzclaw is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Danny Holtzclaw was last updated on December 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.