Rick Holguin, DDS, MSD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

1255 Issued in HI

Practice address

75-5706 Hanama PL
Suite 210
Kailua Kona, HI 96740-1745

Phone

(808) 329-0080

NPI assigned

Feb 2, 2006

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

Other names 1

• Dr. Carlos Richard Holguin Other name

Medicare fee-for-service enrollment

Enrolled in HI

Eligible to order & refer

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

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 and National Provider Directory roles.

• Dental Care Centers of Hawaii, Inc.

  • Dentist
  • Mililani, HI
  • NPI 1023052875
  NPD (past)

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482451200000",
    "number": "1891767927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95-221 KIPAPA DR",
            "address_2": "STE 4B",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967891147",
            "telephone_number": "808-623-2888",
            "fax_number": "808-623-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-5706 HANAMA PL",
            "address_2": "SUITE 210",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401745",
            "telephone_number": "808-329-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLGUIN",
        "first_name": "RICK",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2016-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "HI",
            "license": "1255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLOS",
            "last_name": "HOLGUIN",
            "middle_name": "RICHARD",
            "prefix": "DR.",
            "credential": "DDS, MSD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Brielle Jean Hoisington
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• Sarah Rachel Holst, PT, DPT
• Jay K Honda
• Julie Honda, O.D.
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• Periodontics in Kailua Kona, HI
• Providers in Kailua Kona, HI by specialty
• Periodontics in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2016; 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.