Carl B. Holm, D.D.S., P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D3326 Issued in ID

Legal business name

CARL B. HOLM, D.D.S., P.C.

Practice address

350 E Cedar St
Suite a
Pocatello, ID 83201-3709

Phone

(208) 233-2525

Fax

(208) 233-2523

NPI assigned

Apr 15, 2008

Last updated

Apr 15, 2008By 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. Carl Holm, DDSNPI 1043362452

Title

President

Phone

(208) 233-2525

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carl B Holm, D.D.S.

  • General Practice Dentistry
  • Pocatello, ID
  • NPI 1043362452
  NPD (past) Authorized official

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1174797716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 E CEDAR ST",
            "address_2": "SUITE A",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832013709",
            "telephone_number": "208-233-2525",
            "fax_number": "208-233-2523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 E CEDAR ST",
            "address_2": "SUITE A",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832013709",
            "telephone_number": "208-233-2525",
            "fax_number": "208-233-2523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARL B. HOLM, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "HOLM",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-233-2525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D3326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carina Michelle Cardona
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• Care LLC (Cheryl M. Callaghan, MD)
• Care Planning Institute, Inc
• Brady Carlen, DDS
• Breanna Carlos
• Janie Carlson, LSW
• Joel Andrew Carlson, DO
• Saunja Carlson, M.S. SLP-CF

• General Practice Dentistry in Pocatello, ID
• Providers in Pocatello, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.