Active NPI
David Gregory Holcomb, DMD
- Dentist
- B'Ham, AL
National Provider Identifier
1255458311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3591
- Practice address
- 944 So 18TH St
Bham, AL 35205 - Phone
- (205) 933-5837
- Fax
- (205) 933-2676
- NPI assigned
- Mar 23, 2007
- Last updated
- Feb 2, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 3591 | AL | Primary |
Addresses
Primary practice location
944 So 18TH St
Bham, AL 35205
Mailing address
944 South 18TH St
Birmingham, AL 35205
Phone (205) 933-5837
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3591 | AL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328140800000",
"number": "1255458311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "944 SOUTH 18TH ST",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "35205",
"telephone_number": "205-933-5837",
"fax_number": "205-933-2676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "944 SO 18TH ST",
"city": "BHAM",
"state": "AL",
"postal_code": "35205",
"telephone_number": "205-933-5837",
"fax_number": "205-933-2676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLCOMB",
"first_name": "DAVID",
"middle_name": "GREGORY",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-23",
"last_updated": "2012-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AL",
"license": "3591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in B'Ham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.