Active NPI
Meghan Holub
- Dentist
- Westminster, CO
National Provider Identifier
1710371174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 00202837
- Practice address
- 6415 W 104TH Ave #300
Westminster, CO 80020 - Phone
- (303) 366-3383
- Fax
- (303) 365-9521
- NPI assigned
- Mar 24, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 00202837 | CO | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
6415 W 104TH Ave #300
Westminster, CO 80020
Mailing address
6415 W 104TH Ave #300
Westminster, CO 80020
Phone (303) 366-3383
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161214001827 | CO | Order and Referring Only - Dentist | 1052691771 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00202837 | CO | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540425600000",
"number": "1710371174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6415 W 104TH AVE #300",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "80020",
"telephone_number": "303-366-3383",
"fax_number": "303-365-9521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6415 W 104TH AVE #300",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "80020",
"telephone_number": "303-366-3383",
"fax_number": "303-365-9521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLUB",
"first_name": "MEGHAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-24",
"last_updated": "2018-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "00202837",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westminster, CO
- Cheri Renee Hollstrom, B.S.,M.T. ASCP, D.C.
- Holly Anderson Optometry
- Samantha Ruth Magnuson Holmes, PA-C, CCC-SLP
- Garret Wesley Holst, DO
- Lennie Holt
- Douglas S. Hong, DMD, MD
- Sarah Hood, PT, DPT
- Hannah Marie Hooper, OTR/L
- Shelley Renee Hoover-Sheard, D.C., DACBSP
- Hope & Healing Mental Health Collective LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.