Organization Active NPI

Kurt M. Holmes DDS PC

  • General Practice Dentistry
  • Memphis, TN
National Provider Identifier
1164710331
Registry record updated Jul 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS0000007908 Issued in TN
Legal business name
KURT M. HOLMES DDS PC
Practice address
3285 Hacks Cross Rd
Suite 103 & 104
Memphis, TN 38125-8918
Phone
(901) 619-0347
NPI assigned
Jul 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2011

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

Authorized official

Name
Dr. Kurt Monex Holmes, DDS
Title
Dentist/Owner
Phone
(901) 619-0347

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DS0000007908 TN Primary

Addresses

Primary practice location

3285 Hacks Cross Rd
Suite 103 & 104
Memphis, TN 38125-8918

Mailing address

3285 Hacks Cross Rd
Suite 103 & 104
Memphis, TN 38125-8918
Phone (901) 619-0347

Other identifiers 1

IdentifierTypeStateIssuer
1275602716OtherMSNPI

Other names 1

  • Healthy Smiles Dentistry, P.C. Doing business as

National Provider Directory

National Provider Directory

Locations

3285 Hacks Cross Rd
Ste 103
Memphis, TN 38125
Phone (901) 619-0347

NPI Registry JSON

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311206400000",
    "number": "1164710331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3285 HACKS CROSS RD",
            "address_2": "SUITE 103 & 104",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381258918",
            "telephone_number": "901-619-0347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3285 HACKS CROSS RD",
            "address_2": "SUITE 103 & 104",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381258918",
            "telephone_number": "901-619-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KURT M. HOLMES DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-21",
        "last_updated": "2011-07-21",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "MONEX",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "901-619-0347",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS0000007908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1275602716",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy Smiles Dentistry, P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; 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.