Individual provider Active NPI

William D. Holmes, M.D.

  • Dermatology Physician
  • Henderson, NV
National Provider Identifier
1518195155
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
26207 Issued in NV
Practice address
400 N Stephanie St Ste 400
Henderson, NV 89014-6692
Phone
(702) 990-4800
Fax
(702) 990-4808
NPI assigned
Jun 22, 2009
Last updated
Sep 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 036135383 IL
MOHS-Micrographic Surgery Physician 207ND0101X 26207 NV
Dermatology Physician 207N00000X 26207 NV Primary

Addresses

Primary practice location

400 N Stephanie St Ste 400
Henderson, NV 89014-6692

Mailing address

12700 Park Central Dr Ste 1210
Dallas, TX 75251-1522
Phone (702) 360-2763

Other practice location 1

1701 W. Curtis Road
Champaign, IL 61822-9678
Phone (217) 365-6204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, NV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140822000945 IL Practitioner - Dermatology 2860610433 Reassigns benefits to 1 organization
I20240925003098 NV Practitioner - Dermatology 2860610433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Medical College of Wisconsin, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J Robert West MD IncGroup PAC ID 8729990973, 141 clinicians

Practice addresses (Care Compare)

400 N Stephanie St
Suite 400
Henderson, NV 89014-6692
Phone (702) 990-4800

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision117
Removal of skin lesions1-10
Removal of skin cancer498
Removal of nail tissue1-10
Skin biopsy12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
26207NVMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carle Health Medical Group Dermatology CurrentSince Jul 29, 2014 Accepting new patients
J Robert West, M.D., Inc Dermatology CurrentSince Nov 11, 2024 Accepting new patients
J Robert West, M.D., Inc Dermatology CurrentSince Nov 11, 2024 Accepting new patients
J. Robert West, M.D., Inc Dermatology Past Accepting new patients

Locations

1701 Curtis Rd
Champaign, IL 61822
Phone (217) 365-6201

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

400 N Stephanie St
Ste 400
Henderson, NV 89014
Phone (702) 933-0225

2650 N Tenaya Way
Ste 208
Las Vegas, NV 89128
Phone (702) 360-2100

3010 W Charleston Blvd
Las Vegas, NV 89102

3010 W Charleston Blvd
Ste 100
Las Vegas, NV 89102
Phone (702) 933-0225

630 S Rancho Dr
Ste E
Las Vegas, NV 89106
Phone (702) 258-1001

653 N Town Center Dr
Ste 214
Las Vegas, NV 89144
Phone (702) 248-8989

7220 S Cimarron Rd
Ste 200
Las Vegas, NV 89113
Phone (702) 463-0800

9780 W Skye Canyon Park Dr
Ste 100
Las Vegas, NV 89166
Phone (702) 589-3100

12700 Park Central Dr
Ste 1210
Dallas, TX 75251
Phone (702) 360-2763

Interoperability endpoints

  • Direct secure messaging: william.holmes@westderm.emadirect.md

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1518195155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12700 PARK CENTRAL DR STE 1210",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752511522",
            "telephone_number": "702-360-2763",
            "fax_number": "949-783-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N STEPHANIE ST STE 400",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890146692",
            "telephone_number": "702-990-4800",
            "fax_number": "702-990-4808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 W. Curtis Road",
            "address_purpose": "LOCATION",
            "city": "Champaign",
            "state": "IL",
            "postal_code": "618229678",
            "country_code": "US",
            "telephone_number": "217-365-6204",
            "fax_number": "217-326-1234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "WILLIAM",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-22",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036135383",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NV",
            "license": "26207",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NV",
            "license": "26207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.