Organization Active NPI

Steven J Holm DDS Inc

  • General Practice Dentistry
  • Portage, IN
National Provider Identifier
1063518835
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
STEVEN J HOLM DDS INC
Practice address
3465 Airport Road
Portage, IN 46368-5107
Phone
(219) 763-2727
Fax
(219) 763-0126
NPI assigned
Sep 16, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Steven James Holm, DDSNPI 1346346111
Title
Owner
Phone
(219) 763-2727

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
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3465 Airport Road
Portage, IN 46368-5107

Mailing address

3465 Airport Road
Portage, IN 46368-5107
Phone (219) 763-2727

National Provider Directory

National Provider Directory

Locations

3465 Airport Rd
Portage, IN 46368
Phone (219) 763-2727

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063518835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3465 AIRPORT ROAD",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463685107",
            "telephone_number": "219-763-2727",
            "fax_number": "219-763-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3465 AIRPORT ROAD",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463685107",
            "telephone_number": "219-763-2727",
            "fax_number": "219-763-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN J HOLM DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLM",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-763-2727",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, IN

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.