NPIMap

Organization Active NPI

Michael C. Holmes, MD, PLLC

  • Pediatrics Physician
  • Cedar Park, TX
National Provider Identifier
1689132540
Registry record updated Mar 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
MICHAEL C. HOLMES, MD, PLLC
Practice address
1464 E Whitestone Blvd Ste 2104
Cedar Park, TX 78613-9079
Phone
(512) 260-8100
Fax
(512) 260-8103
NPI assigned
Mar 8, 2019
Last updated
Mar 8, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2019

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

Authorized official

Name
Michael Holmes, MDNPI 1588868152
Title
Owner/Medical Director
Phone
(504) 813-7701

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

1464 E Whitestone Blvd Ste 2104
Cedar Park, TX 78613-9079

Mailing address

1464 E Whitestone Blvd Ste 2104
Cedar Park, TX 78613-9079
Phone (512) 260-8100

Other identifiers 1

IdentifierTypeStateIssuer
206844703MedicaidTX

National Provider Directory

National Provider Directory

Locations

1464 E Whitestone Blvd
Ste 2104
Cedar Park, TX 78613
Phone (512) 260-8100

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552003200000",
    "number": "1689132540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1464 E WHITESTONE BLVD STE 2104",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786139079",
            "telephone_number": "512-260-8100",
            "fax_number": "512-260-8103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1464 E WHITESTONE BLVD STE 2104",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786139079",
            "telephone_number": "512-260-8100",
            "fax_number": "512-260-8103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL C. HOLMES, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-08",
        "last_updated": "2019-03-08",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "504-813-7701",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206844703",
            "state": "TX"
        }
    ],
    "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 Mar 8, 2019; 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.