Michael Holm, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

D11043 Issued in OR

Practice address

124 NE Evelyn Ave
Grants Pass, OR 97526-1427

Phone

(541) 936-9456

Fax

(541) 479-1613

NPI assigned

Oct 8, 2009

Last updated

Jan 6, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mholm574274@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.

• Rogue Dental Sleep Solutions LLC

  • General Practice Dentistry
  • Grants Pass, OR
  • NPI 1225670623
  NPD Authorized official
• The Sleep Center LLC

  • General Practice Dentistry
  • Weiser, ID
  • NPI 1770357485
  NPD Authorized official

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

{
    "created_epoch": "1254960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1891020806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 NE EVELYN AVE",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261427",
            "telephone_number": "541-936-9456",
            "fax_number": "541-479-1613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 NE EVELYN AVE",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261427",
            "telephone_number": "541-936-9456",
            "fax_number": "541-479-1613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLM",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-08",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D11043",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "7884",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "10249",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lance Holcomb
• Crystal Holder
• Holistic Healing Therapy
• Christian Stewart Holland, D.O.
• Vanessa-Gissele Holliman
• Alouette Honig, DC
• Donna-Gail R Hopkins
• Lauren Hornbeck
• Christopher Lee Horner
• Jennifer Horst

• Dentist in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.