Active NPI
Kyndal Leigh Holmes, DDS
- General Practice Dentistry
- Superior, WI
National Provider Identifier
1073437745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6002210-15
- Practice address
- 2222 E. 5TH St.
Superior, WI 54880-3709 - Phone
- (715) 392-1955
- Fax
- (715) 392-1935
- NPI assigned
- Aug 6, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6002210-15 | WI | Primary |
Addresses
Primary practice location
2222 E. 5TH St.
Superior, WI 54880-3709
Mailing address
2222 E. 5TH St.
Superior, WI 54880-3709
Phone (715) 392-1955
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785974400000",
"number": "1073437745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2222 E. 5TH ST.",
"city": "SUPERIOR",
"state": "WI",
"postal_code": "548803709",
"telephone_number": "715-392-1955",
"fax_number": "715-392-1935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 E. 5TH ST.",
"city": "SUPERIOR",
"state": "WI",
"postal_code": "548803709",
"telephone_number": "715-392-1955",
"fax_number": "715-392-1935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMES",
"first_name": "KYNDAL",
"middle_name": "LEIGH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2026-08-06",
"last_updated": "2026-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WI",
"license": "6002210-15",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Superior, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.