Organization Active NPI

Kris Holmes PA PLLC

  • Surgical Physician Assistant
  • Dallas, TX
National Provider Identifier
1164802385
Registry record updated Jun 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA09735 Issued in TX
Legal business name
KRIS HOLMES PA PLLC
Practice address
740 Peavy Rd
Dallas, TX 75218-2149
Phone
(214) 304-1228
NPI assigned
Jun 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2015

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

Authorized official

Name
Mr. Kristopher Holmes, PA-C
Title
Owner/Operator
Phone
(214) 304-1228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AS0400X PA09735 TX Primary

Addresses

Primary practice location

740 Peavy Rd
Dallas, TX 75218-2149

Mailing address

740 Peavy Rd
Dallas, TX 75218-2149

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433289600000",
    "number": "1164802385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 PEAVY RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752182149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 PEAVY RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752182149",
            "telephone_number": "214-304-1228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRIS HOLMES PA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-03",
        "last_updated": "2015-06-03",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "KRISTOPHER",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "214-304-1228",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA09735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.