NPIMap

Organization Active NPI

Richard M Holmes DMD, PA

Doing business as Indian Trail Dental Associates

  • General Practice Dentistry
  • Indian Trail, NC
National Provider Identifier
1689716599
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
NC6039 Issued in NC
Legal business name
RICHARD M HOLMES DMD, PA
Doing business as
Indian Trail Dental Associates
Practice address
136 Indian Trail Rd S
Indian Trail, NC 28079-9669
Phone
(704) 821-7222
Fax
(704) 821-4310
NPI assigned
Feb 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Richard Mark Holmes, DMD, PANPI 1568545788
Title
Owner
Phone
(704) 821-7222

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
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X NC6039 NC Primary

Addresses

Primary practice location

136 Indian Trail Rd S
Indian Trail, NC 28079-9669

Mailing address

PO Box 338
Indian Trail, NC 28079-0338
Phone (704) 821-7222

Other names 1

  • Indian Trail Dental Associates Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689716599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 338",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280790338",
            "telephone_number": "704-821-7222",
            "fax_number": "704-821-4310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 INDIAN TRAIL RD S",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280799669",
            "telephone_number": "704-821-7222",
            "fax_number": "704-821-4310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD M HOLMES DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-821-7222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, PA"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "NC6039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Indian Trail Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indian Trail, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.