Dr W Shane Holmes Inc

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

3383 Issued in WV

Legal business name

DR W SHANE HOLMES INC

Practice address

867 Oakwood Rd
Charleston, WV 25314-2057

Phone

(304) 343-3672

Fax

(304) 720-3672

NPI assigned

Jan 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Warren Shane Holmes Sr., DDS, MDS

Title

Orthodontist and President

Phone

(304) 343-3672

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• W. Shane Holmes, DDS,MDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Charleston, WV
  • NPI 1336211010

  Orthodontics and Dentofacial Orthopedics

  NPD (past)
• John Anthony Palmer III, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Charleston, WV
  • NPI 1992180335

  Orthodontics and Dentofacial Orthopedics

  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710030697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "867 OAKWOOD RD",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253142057",
            "telephone_number": "304-343-3672",
            "fax_number": "304-720-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "867 OAKWOOD RD",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253142057",
            "telephone_number": "304-343-3672",
            "fax_number": "304-720-3672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR W SHANE HOLMES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "SHANE",
        "authorized_official_title_or_position": "ORTHODONTIST AND PRESIDENT",
        "authorized_official_telephone_number": "304-343-3672",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DDS, MDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WV",
            "license": "3383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4002075000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Charleston, WV
• Orthodontics and Dentofacial Orthopedics Dentistry in West Virginia

• 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.