Individual provider Active NPI

Joseph Philip Holmes, DDS PLLC

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1649485475
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14942 Issued in TX
Practice address
11874 Wurzbach Rd
San Antonio, TX 78230-2744
Phone
(210) 314-4643
Fax
(210) 314-5641
NPI assigned
May 14, 2007
Last updated
Jan 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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 14942 TX Primary

Addresses

Primary practice location

11874 Wurzbach Rd
San Antonio, TX 78230-2744

Mailing address

11874 Wurzbach Rd
San Antonio, TX 78230-2744
Phone (210) 314-4643

Other identifiers 4

IdentifierTypeStateIssuer
32862-1OtherTXUNITED HEALTHCARE
74-2649670OtherTXDELTA DENTAL
D14942OtherTXBLUE CROSS BLUE SHIELD
827033OtherTXUNITED CONCORDIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171114001665 TX Order and Referring Only - DentistPractitioner - Dentist 3375809098

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14942TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph P. Holmes DDS PLLC CurrentSince Jan 17, 2022 Accepting new patients

Locations

11874 Wurzbach Rd
San Antonio, TX 78230
Phone (210) 314-4643

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, 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": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1649485475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11874 WURZBACH RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782302744",
            "telephone_number": "210-314-4643",
            "fax_number": "210-314-5641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11874 WURZBACH RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782302744",
            "telephone_number": "210-314-4643",
            "fax_number": "210-314-5641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "JOSEPH",
        "middle_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "DDS PLLC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "14942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "32862-1",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL",
            "identifier": "74-2649670",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "D14942",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "827033",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.