Kimber Lee Holmes, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

16906 Issued in TX

Practice address

3602 Vista Rd
Pasadena, TX 77504-1942

Phone

(713) 946-5171

Fax

(713) 946-0047

NPI assigned

Aug 30, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Kimber Lee Holmes, D.D.S., P.a.

  • General Practice Dentistry
  • Pasadena, TX
  • NPI 1447317151
  NPD (past) Authorized official
• Pasadena Family Denistry, PLLC

  • General Practice Dentistry
  • Pasadena, TX
  • NPI 1720478670
  NPD (past) Authorized official

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1144330705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3602 VISTA RD",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775041942",
            "telephone_number": "713-946-5171",
            "fax_number": "713-946-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3602 VISTA RD",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775041942",
            "telephone_number": "713-946-5171",
            "fax_number": "713-946-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "KIMBER",
        "middle_name": "LEE",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "16910",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "16906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "760519739",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tien Thuy Hoang, PHARMD
• Kristi N Holland, CNM
• Laurie S Holley, MD
• Charnell Hollis, NP
• Cheryl Stephanie Holloway, ASLP
• Mona Homafar, MD
• Kyne Arlen Homerstad, D.D.S.
• Hong Bui OD PA
• Honglan Tran, DMD, PA
• Horizon Pasadena LLC

• Dentist in Pasadena, TX
• Providers in Pasadena, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.