Michael Holmberg, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

202562 Issued in CO

Practice address

6075 E Parkway Dr Ste 160
Commerce City, CO 80022-5413

Phone

(720) 795-7077

NPI assigned

Jul 7, 2015

Last updated

Jun 5, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2016 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kids Smiles Colorado PLLC

  • General Practice Dentistry
  • Aurora, CO
  • NPI 1235976804
  NPD Authorized official
• Hero Dental of Commerce City PC

  dba Adventure Dental and Vision

  • General Practice Dentistry
  • Commerce City, CO
  • NPI 1598318123
  NPD
• Hero Vision of Commerce City LLC

  dba Adventure Dental and Vision

  • Optometrist
  • Commerce City, CO
  • NPI 1154975472
  NPD
• The Dentist PA

  • Dental Clinic/Center
  • Hays, KS
  • NPI 1770984668

  Dentist

  NPD (past)

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654387200000",
    "number": "1184007221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 E BIJOU ST STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809098009",
            "telephone_number": "719-576-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6075 E PARKWAY DR STE 160",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "800225413",
            "telephone_number": "720-795-7077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 Downing Ave Ste 10",
            "address_purpose": "LOCATION",
            "city": "Hays",
            "state": "KS",
            "postal_code": "676012461",
            "country_code": "US",
            "telephone_number": "786-625-6001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLMBERG",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-07",
        "last_updated": "2022-06-05",
        "certification_date": "2022-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "61260",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "202562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184007221",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michele Hinneberg, CPNP
• David Samuel Hite, O.D.
• Eva Hobson, LCSW
• Daneane Rae Hoel
• Tosha Collette Holliday
• Home Genetics LTD
• Home Hearing Solutions
• Cynthia Dolores Hongamen, ARNP
• Lindsay Marie Hoop, DMD
• Hope Homecare Inc

• Dentist in Commerce City, CO
• Providers in Commerce City, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2022; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.