Active NPI
Michael Burton Holm, D.D.S.
- General Practice Dentistry
- Rancho Cordova, CA
National Provider Identifier
1073615506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 28938
- Practice address
- 10350 Coloma Rd
Rancho Cordova, CA 95670-2106 - Phone
- (916) 362-9247
- Fax
- (916) 362-0153
- NPI assigned
- Sep 4, 2006
- Sex
- Male
- 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 | 28938 | CA | Primary |
Addresses
Primary practice location
10350 Coloma Rd
Rancho Cordova, CA 95670-2106
Mailing address
10350 Coloma Rd
Rancho Cordova, CA 95670-2106
Phone (916) 362-9247
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TIN 94-277871 | Other | CA | TAX ID # |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soltani Dental Group | Past | Accepting new patients | |
| American River Dental | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Rancho Cordova, CA
- NPI 1194918623
-
- Dental Clinic/Center
- Rancho Cordova, CA
- NPI 1396321709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1073615506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10350 COLOMA RD",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956702106",
"telephone_number": "916-362-9247",
"fax_number": "916-362-0153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10350 COLOMA RD",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956702106",
"telephone_number": "916-362-9247",
"fax_number": "916-362-0153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLM",
"first_name": "MICHAEL",
"middle_name": "BURTON",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-04",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "28938",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID #",
"identifier": "TIN 94-277871",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rancho Cordova, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.