Individual provider Active NPI

Scott P Holm, DMD

  • Dentist
  • Rigby, ID
National Provider Identifier
1740613199
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6462 Issued in NV
Practice address
302 N 3823 E
Rigby, ID 83442-5723
Phone
(208) 745-1911
Fax
(208) 745-8566
NPI assigned
Aug 20, 2013
Last updated
Nov 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6462 NV Primary

Addresses

Primary practice location

302 N 3823 E
Rigby, ID 83442-5723

Mailing address

302 N 3823 E
Rigby, ID 83442-5723
Phone (208) 745-1911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brightside Dental PLLC CurrentSince Nov 10, 2024 Accepting new patients
Scott Holm DMD PLLC Current Accepting new patients
Nevada Dental Professional, Quirt, Gates, PC Past Accepting new patients
Dansie Dental Dentist PastSince Nov 10, 2024 Accepting new patients

Locations

302 N 3823 E
Rigby, ID 83442
Phone (208) 745-1911

Organizations & group practices 4

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": "1376956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1740613199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 N 3823 E",
            "city": "RIGBY",
            "state": "ID",
            "postal_code": "834425723",
            "telephone_number": "208-745-1911",
            "fax_number": "208-745-8566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 N 3823 E",
            "city": "RIGBY",
            "state": "ID",
            "postal_code": "834425723",
            "telephone_number": "208-745-1911",
            "fax_number": "208-745-8566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLM",
        "first_name": "SCOTT",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-20",
        "last_updated": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "6462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rigby, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.