David M Holecek, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D3552SS Issued in ID

Practice address

1115 B St
Plummer, ID 83851-0388

Phone

(208) 686-1931

Fax

(208) 686-0242

NPI assigned

Oct 21, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Holecek Family Dental Center LLC

  • General Practice Dentistry
  • Post Falls, ID
  • NPI 1194975755
  NPD (past) Authorized official

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760471783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 E PACKSADDLE DR",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838157923",
            "telephone_number": "208-686-1110",
            "fax_number": "208-686-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 B ST",
            "city": "PLUMMER",
            "state": "ID",
            "postal_code": "838510388",
            "telephone_number": "208-686-1931",
            "fax_number": "208-686-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLECEK",
        "first_name": "DAVID",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D3552SS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Hammrich, PA
• Chanda Mae Heer, RN
• Darren M. Heer, RPT
• Tamara S Hise, RN
• Adam M. Holecek, D.D.S.
• Sara Holland
• Darcy Ann Humphrey, RN
• David Allen Ingebritsen, PHD LCPC
• Caley Jordan, PHARMD
• Ryan Kain, D.C.

• General Practice Dentistry in Plummer, ID
• Providers in Plummer, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.