Individual provider Active NPI

Nicole Zander Holmes, D.D.S.

  • General Practice Dentistry
  • Fort Collins, CO
National Provider Identifier
1457438665
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8009 Issued in CO
Practice address
1136 E Stuart St
Suite 4101
Fort Collins, CO 80525-1195
Phone
(970) 221-2499
Fax
(970) 221-5375
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8009 CO Primary

Addresses

Primary practice location

1136 E Stuart St
Suite 4101
Fort Collins, CO 80525-1195

Mailing address

2133 S Timberline Rd Ste 100
Fort Collins, CO 80525-4396
Phone (970) 221-2499

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

LicenseStateTypeSpecialty
8009COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Holmes Family Dental, PC General Practice CurrentSince Feb 18, 2024 Accepting new patients

Locations

2133 S Timberline Rd
Ste 100
Fort Collins, CO 80525
Phone (970) 221-2499

1136 E Stuart St
Ste 4101
Fort Collins, CO 80525
Phone (970) 235-0952

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1457438665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2133 S TIMBERLINE RD STE 100",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254396",
            "telephone_number": "970-221-2499",
            "fax_number": "970-221-5375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 E STUART ST",
            "address_2": "SUITE 4101",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805251195",
            "telephone_number": "970-221-2499",
            "fax_number": "970-221-5375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "NICOLE",
        "middle_name": "ZANDER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "8009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.