Individual provider Active NPI

Michael Christopher Holmes, MD

  • Pediatrics Physician
  • Cedar Park, TX
National Provider Identifier
1588868152
Registry record updated Dec 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
N3736 Issued in TX
Practice address
1464 E Whitestone Blvd
Suite 901
Cedar Park, TX 78613-9058
Phone
(512) 260-8100
Fax
(512) 260-8103
NPI assigned
Jun 14, 2007
Last updated
Dec 1, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X N3736 TX Primary

Addresses

Primary practice location

1464 E Whitestone Blvd
Suite 901
Cedar Park, TX 78613-9058

Mailing address

104 Seminole Canyon Dr
Georgetown, TX 78628-7193
Phone (504) 813-7701

Other identifiers 1

IdentifierTypeStateIssuer
3891389970OtherMYUTMB 3891389970-COMMERCIAL NUMBER

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Michael C. Holmes, MD, PLLC Pediatrics Past Accepting new patients
Whitestone Pediatrics Incorporated Past Accepting new patients

Organizations & group practices 2

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": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480550400000",
    "number": "1588868152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 SEMINOLE CANYON DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786287193",
            "telephone_number": "504-813-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1464 E WHITESTONE BLVD",
            "address_2": "SUITE 901",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786139058",
            "telephone_number": "512-260-8100",
            "fax_number": "512-260-8103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "MICHAEL",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2016-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "N3736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MYUTMB 3891389970-COMMERCIAL NUMBER",
            "identifier": "3891389970",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; 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.