Organization Active NPI

Thomas M. Holman, DDS, PA

  • Dental Clinic/Center
  • Centerton, AR
National Provider Identifier
1386070316
Registry record updated Sep 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
3866 Issued in AR
Legal business name
THOMAS M. HOLMAN, DDS, PA
Practice address
431 W Centerton Blvd
Centerton, AR 72719-8701
Phone
(479) 795-1101
Fax
(479) 795-0242
NPI assigned
Sep 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2013

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

Authorized official

Name
Dr. Thomas M. Holman, D.D.S.
Title
President
Phone
(479) 795-1101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 3866 AR Primary

Addresses

Primary practice location

431 W Centerton Blvd
Centerton, AR 72719-8701

Mailing address

431 W Centerton Blvd
Centerton, AR 72719-8701
Phone (479) 795-1101

National Provider Directory

National Provider Directory

Locations

431 W Centerton Blvd
Centerton, AR 72719
Phone (479) 795-1101

NPI Registry JSON

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379894400000",
    "number": "1386070316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 W CENTERTON BLVD",
            "city": "CENTERTON",
            "state": "AR",
            "postal_code": "727198701",
            "telephone_number": "479-795-1101",
            "fax_number": "479-795-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 W CENTERTON BLVD",
            "city": "CENTERTON",
            "state": "AR",
            "postal_code": "727198701",
            "telephone_number": "479-795-1101",
            "fax_number": "479-795-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS M. HOLMAN, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-23",
        "last_updated": "2013-09-23",
        "status": "A",
        "authorized_official_last_name": "HOLMAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-795-1101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AR",
            "license": "3866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerton, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; 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.