Bret J Holman, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

60655 Issued in KS

Practice address

382 S Bluff St Ste 250
St George, UT 84770-3672

Phone

(435) 656-1111

NPI assigned

Jul 20, 2010

Sex

Male

Sole proprietor

No

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 MP

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

Interoperability endpoints

• Direct secure messaging: bholman813536@direct.ochin.org

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.

• Commonwealth Healthcare Corporation

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Saipan, MP
  • NPI 1285858290
  Medicare reassignment NPD
• Prairie Vista Dental, LLC

  • General Practice Dentistry
  • Uysses, KS
  • NPI 1255648036
  NPD (past) Authorized official
• Commonwealth Healthcare Corporation

  • General Acute Care Hospital
  • Saipan, MP
  • NPI 1871616292
  NPD
• Northstar Adventures

  • General Practice Dentistry
  • St George, UT
  • NPI 1326502840
  NPD (past)
• Bishop Dental, LLC

  • Dentist
  • Ulysses, KS
  • NPI 1063292738
  NPD (past)
• United Indian Health Services, Inc.

  • Primary Care Clinic/Center
  • Arcata, CA
  • NPI 1497751572
  NPD (past)

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

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1790098606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 S BLUFF ST STE 250",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847703672",
            "telephone_number": "435-656-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "382 S BLUFF ST STE 250",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847703672",
            "telephone_number": "435-656-1111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 W Central Ave",
            "address_purpose": "LOCATION",
            "city": "Ulysses",
            "state": "KS",
            "postal_code": "678802403",
            "country_code": "US",
            "telephone_number": "620-424-4311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLMAN",
        "first_name": "BRET",
        "middle_name": "J",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-20",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "60655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Hollingshead, LCSW
• David Scott Hollingshead, APRN
• Porter Hollngshead
• Hollystic Hideaway
• Kaira Faye Holm, LMT
• Nathan Lance Holman
• Nathan Laurel Holman, M.D.
• Alyssa Holmes
• Allyson Holt, LCSW
• Jenae Holt

• General Practice Dentistry in St George, UT
• Providers in St George, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.