Individual provider Active NPI

William Edward Holcomb, DDS

  • General Practice Dentistry
  • Okla City, OK
National Provider Identifier
1770685182
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4788 Issued in OK
Practice address
6303 N Portland #209
Okla City, OK 73112
Phone
(405) 942-7771
Fax
(405) 942-7796
NPI assigned
Sep 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4788 OK Primary

Addresses

Primary practice location

6303 N Portland #209
Okla City, OK 73112

Mailing address

6303 N Portland #209
Okla City, OK 73112
Phone (405) 942-7771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective May 5, 2016 through May 5, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4788OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
WM Edward Holcomb Past Accepting new patients
WM Edward Holcomb DDS Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770685182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6303 N PORTLAND #209",
            "city": "OKLA CITY",
            "state": "OK",
            "postal_code": "73112",
            "telephone_number": "405-942-7771",
            "fax_number": "405-942-7796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6303 N PORTLAND #209",
            "city": "OKLA CITY",
            "state": "OK",
            "postal_code": "73112",
            "telephone_number": "405-942-7771",
            "fax_number": "405-942-7796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLCOMB",
        "first_name": "WILLIAM",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "4788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okla City, OK

Sources for this page

Verify at the official NPI Registry.