Active NPI
Richard Coe Holmes, DDS
- Dentist
- Cedar Point, NC
National Provider Identifier
1316023534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6751
- Practice address
- 710 Cedar Point Blvd
Cedar Point, NC 28584 - Phone
- (252) 393-2353
- Fax
- (252) 393-2853
- NPI assigned
- Oct 31, 2006
- 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 | 6751 | NC | Primary |
Addresses
Primary practice location
710 Cedar Point Blvd
Cedar Point, NC 28584
Mailing address
710 Cedar Point Blvd
Cedar Point, NC 28584
Phone (252) 393-2353
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 899011V | Medicaid | NC | |
| 1380326 | Other | UNITED CONCORDIA | |
| 9011V | Other | NC | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160523002032 | NC | Order and Referring Only - Dentist | 9436448990 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6751 | NC | MD | Professional Counselor |
| 6571 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard C Holmes DDS, PA | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Cedar Point, NC
- NPI 1114365814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366243200000",
"number": "1316023534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 CEDAR POINT BLVD",
"city": "CEDAR POINT",
"state": "NC",
"postal_code": "28584",
"telephone_number": "252-393-2353",
"fax_number": "252-393-2853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 CEDAR POINT BLVD",
"city": "CEDAR POINT",
"state": "NC",
"postal_code": "28584",
"telephone_number": "252-393-2353",
"fax_number": "252-393-2853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMES",
"first_name": "RICHARD",
"middle_name": "COE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-31",
"last_updated": "2013-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "6751",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "899011V",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "1380326",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "9011V",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Point, NC
- Final Phase LLC (James E Homer, Ocularist)
- Megan Catherine Frank, MS, APRN, FNP-C
- James D Gadue, DPT
- Deana Glasgow, FNP-C
- Kelsey Henry, LCMHC-A, LCAS-A
- Esther L Homer, OCULARIST
- James Ellsworth Homer, OCULARIST
- Daniel John Houskamp, MD
- Melinda Kay Hunsinger
- Jarrett Darrah, D.D.S., PLLC (Anchor Dental)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.