Active NPI
Holub McKim L.L.C.
- Dentist
- Eugene, OR
National Provider Identifier
1992008858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4584
- Legal business name
- HOLUB MCKIM L.L.C.
- Practice address
- 1045 Willagillespie Rd
Suite 125
Eugene, OR 97401-6798 - Phone
- (541) 485-8717
- Fax
- (541) 485-2082
- NPI assigned
- Dec 15, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John McKim, D.M.D.
- Title
- Dentist
- Phone
- (541) 485-8717
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4584 | OR | Primary |
Addresses
Primary practice location
1045 Willagillespie Rd
Suite 125
Eugene, OR 97401-6798
Mailing address
1045 Willagillespie Rd
Suite 125
Eugene, OR 97401-6798
Phone (541) 485-8717
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Eugene, OR
- NPI 1124254230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292371200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1292371200000",
"number": "1992008858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1045 WILLAGILLESPIE RD",
"address_2": "SUITE 125",
"city": "EUGENE",
"state": "OR",
"postal_code": "974016798",
"telephone_number": "541-485-8717",
"fax_number": "541-485-2082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1045 WILLAGILLESPIE RD",
"address_2": "SUITE 125",
"city": "EUGENE",
"state": "OR",
"postal_code": "974016798",
"telephone_number": "541-485-8717",
"fax_number": "541-485-2082"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLUB MCKIM L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-15",
"last_updated": "2010-12-15",
"status": "A",
"authorized_official_last_name": "MCKIM",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "541-485-8717",
"authorized_official_credential": "D.M.D."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "OR",
"license": "4584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.