Organization Active NPI

Dennis R. Holmes, MD, Inc

  • Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1356633978
Registry record updated Feb 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A68940 Issued in CA
Legal business name
DENNIS R. HOLMES, MD, INC
Practice address
1513 S Grand Ave
Los Angeles, CA 90015-3021
Phone
(213) 742-5784
Fax
(213) 742-6055
NPI assigned
May 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2016

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

Authorized official

Name
Dr. Dennis R Holmes, M.D.NPI 1124056197
Title
Owner
Phone
(213) 742-5784

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X A68940 CA Primary

Addresses

Primary practice location

1513 S Grand Ave
Los Angeles, CA 90015-3021

Mailing address

5670 Wilshire Blvd Ste 1740
Los Angeles, CA 90036-5656
Phone (714) 522-2001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111031000261 CA Part B Supplier - Clinic/Group Practice 4082887450 Receives reassigned benefits from 1 practitioner
Practice locations: Glendale, CA; Los Angeles, CA; Santa Monica, CA

National Provider Directory

National Provider Directory

Locations

5670 Wilshire Blvd
Ste 1740
Los Angeles, CA 90036
Phone (800) 203-5515

5757 Wilshire Blvd
Ph 5
Los Angeles, CA 90036

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1305417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456358400000",
    "number": "1356633978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5670 WILSHIRE BLVD STE 1740",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900365656",
            "telephone_number": "714-522-2001",
            "fax_number": "714-522-7503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 S GRAND AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153021",
            "telephone_number": "213-742-5784",
            "fax_number": "213-742-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS R. HOLMES, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-15",
        "last_updated": "2016-02-25",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-742-5784",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "A68940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.