Active NPI
William D. Holmes, M.D.
- Dermatology Physician
- Henderson, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 26207
- 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, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
Practice addresses (Care Compare)
400 N Stephanie St
Suite 400
Henderson, NV 89014-6692
Phone (702) 990-4800
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 117 |
| Removal of skin lesions | 1-10 |
| Removal of skin cancer | 498 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26207 | NV | MD | MOHS-Micrographic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carle Health Medical Group | Dermatology | Current | Accepting new patients |
| J Robert West, M.D., Inc | Dermatology | Current | Accepting new patients |
| J Robert West, M.D., Inc | Dermatology | Current | 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
- 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.
-
dba Las Vegas Skin and Cancer Clinics
- Dermatology Physician
- Las Vegas, NV
- NPI 1295338416
-
dba Carle Physician Group
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
Dermatology
-
dba Southern California Dermatology
- Dermatology Physician
- Newport Beach, CA
- NPI 1932154788
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.