W. Shane Holmes, DDS,MDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

3383 Issued in WV

Practice address

867 Oakwood Rd
Charleston, WV 25314-2057

Phone

(304) 343-3672

Fax

(304) 720-3672

NPI assigned

Nov 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dr W Shane Holmes Inc

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Charleston, WV
  • NPI 1710030697

  Orthodontics and Dentofacial Orthopedics

  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1336211010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "867 OAKWOOD RD",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253142057",
            "telephone_number": "304-343-3672",
            "fax_number": "304-720-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "867 OAKWOOD RD",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253142057",
            "telephone_number": "304-343-3672",
            "fax_number": "304-720-3672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "W.",
        "middle_name": "SHANE",
        "name_prefix": "Dr.",
        "credential": "DDS,MDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WV",
            "license": "3383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4002075000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Octarra Holman
• April Holmes
• Becca Holmes, SLP
• Dustin Dru Holmes, R.D.
• Romney Holmes
• Allison Holstein, D.O
• Gabrielle Suzanne Holstein, FNP-BC
• Katie Lee Holstein
• Lindsey Nicole Holstein
• Teresa Holstein

• All providers in Charleston, WV
• Orthodontics and Dentofacial Orthopedics Dentistry in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.