NPI Code Detail JSON Logo

1144330705 NPI number — KIMBER LEE HOLMES D.D.S.

NPI Number: 1144330705
Health Care Provider/Practitioner: KIMBER LEE HOLMES D.D.S.

Information about “1144330705” NPI (KIMBER LEE HOLMES D.D.S.) exists in 1144330705 in HTML format HTML  |  1144330705 in plain Text format TXT  |  1144330705 in PDF (Portable Document Format) PDF  |  1144330705 in an XML format XML  formats.

NPI Number : 1144330705 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1144330705",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HOLMES",
    "FirstName": "KIMBER",
    "MiddleName": "LEE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "D.D.S.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3602 VISTA RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PASADENA",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77504-1942",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "713-946-5171",
    "MailingAddressFaxNumber": "713-946-0047",
    "FirstLinePracticeLocationAddress": "3602 VISTA RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PASADENA",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77504-1942",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "713-946-5171",
    "PracticeLocationAddressFaxNumber": "713-946-0047",
    "EnumerationDate": "08/30/2006",
    "LastUpdateDate": "03/23/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "1223G0001X",
          "TaxonomyName": "General Practice Dentistry",
          "LicenseNumber": "16910",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "122300000X",
          "TaxonomyName": "Dentist",
          "LicenseNumber": "16906",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.