Active NPI
Scott P Holm, DMD
- Dentist
- Rigby, ID
National Provider Identifier
1740613199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6462
- 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, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brightside Dental PLLC | Current | Accepting new patients | |
| Scott Holm DMD PLLC | Current | Accepting new patients | |
| Nevada Dental Professional, Quirt, Gates, PC | Past | Accepting new patients | |
| Dansie Dental | Dentist | Past | 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.
-
- Dental Clinic/Center
- Colorado Springs, CO
- NPI 1881294387
-
- General Practice Dentistry
- Rigby, ID
- NPI 1386493260
-
- Dentist
- Rigby, ID
- NPI 1881049278
-
dba Galleria Dental
- General Practice Dentistry
- Henderson, NV
- NPI 1821014382
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.