Charles O. Holmes DDS PS

Primary specialty

DentistTaxonomy code 122300000X

License

4354 Issued in WA

Legal business name

CHARLES O. HOLMES DDS PS

Practice address

22030 7TH Ave S
Ste 105
Des Moines, WA 98198-6219

Phone

(206) 575-4840

Fax

(206) 878-2919

NPI assigned

Apr 24, 2014

Organization subpart

No

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

Authorized official

Name

Kathe Holmes

Title

Office Manager

Phone

(206) 575-4840

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398297600000",
    "number": "1992125306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22030 7TH AVE S",
            "address_2": "STE 105",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981986219",
            "telephone_number": "206-575-4840",
            "fax_number": "206-878-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22030 7TH AVE S",
            "address_2": "STE 105",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981986219",
            "telephone_number": "206-575-4840",
            "fax_number": "206-878-2919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES O. HOLMES DDS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-24",
        "last_updated": "2014-04-24",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "KATHE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "206-575-4840"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "4354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; 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.