Active NPI
Michael Neil Holden, LD
- Denturist
- Kent, WA
National Provider Identifier
1801010046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Denturist
- License
- DN 60153167
- Practice address
- 25052 104TH Ave SE Ste G
Kent, WA 98030-6853 - Phone
- (253) 813-8000
- Fax
- (253) 813-8007
- NPI assigned
- Apr 12, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Denturist | 122400000X | DN 60153167 | WA | Primary |
| Denturist | 122400000X | DT-DO-10111220 | OR |
Addresses
Primary practice location
25052 104TH Ave SE Ste G
Kent, WA 98030-6853
Mailing address
25052 104TH Ave SE Ste G
Kent, WA 98030-6853
Phone (253) 813-8000
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT-DO-10111220 | OR | MD | Denturist |
| DN 60153167 | WA | MD | Denturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334793600000",
"number": "1801010046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25052 104TH AVE SE STE G",
"city": "KENT",
"state": "WA",
"postal_code": "980306853",
"telephone_number": "253-813-8000",
"fax_number": "253-813-8007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25052 104TH AVE SE STE G",
"city": "KENT",
"state": "WA",
"postal_code": "980306853",
"telephone_number": "253-813-8000",
"fax_number": "253-813-8007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLDEN",
"first_name": "MICHAEL",
"middle_name": "NEIL",
"name_prefix": "Mr.",
"credential": "LD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-12",
"last_updated": "2012-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "122400000X",
"taxonomy_group": "",
"desc": "Denturist",
"state": "WA",
"license": "DN 60153167",
"primary": true
},
{
"code": "122400000X",
"taxonomy_group": "",
"desc": "Denturist",
"state": "OR",
"license": "DT-DO-10111220",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kent, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.