Cody Dental Excellence

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1290 Issued in WY

Legal business name

CODY DENTAL EXCELLENCE

Practice address

726 Allen Ave
Cody, WY 82414-3443

Phone

(307) 587-3000

Fax

(307) 587-3012

NPI assigned

Mar 20, 2012

Last updated

Mar 20, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Devon Holeman, DMD

Title

Dentist

Phone

(307) 587-3000

Specialties & licenses 1

Addresses

Other names 1

• Wyoming Dental Excellence Other name

Locations

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1154696409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 ALLEN AVE",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824143443",
            "telephone_number": "307-587-3000",
            "fax_number": "307-587-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 ALLEN AVE",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824143443",
            "telephone_number": "307-587-3000",
            "fax_number": "307-587-3012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CODY DENTAL EXCELLENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-20",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "HOLEMAN",
        "authorized_official_first_name": "DEVON",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "307-587-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WY",
            "license": "1290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wyoming Dental Excellence",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cloud Peak Counseling (Oxbow Center)
• Cloud Peak Counseling Center (Oxbow Center)
• Cody Chiropractic Center PC (ProHealth Pain Relief and Wellness)
• Cody Clinic
• Cody Council on Aging (Cody Senior Center)
• Cody Imaging Center LLC
• Cody Regional Health EMS
• Cody Senior Living, LLC (Absaroka)
• Cody Surgical Associates LLC
• Brian Casey Coe, PARAMEDIC

• General Practice Dentistry in Cody, WY
• Providers in Cody, WY by specialty
• General Practice Dentistry in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; 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.