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JON G HOLMAN D.D.S.
NPI 1255377925
Dentist in Oklahoma City, OK

Active since June 21, 2006Opted out of Medicare · through Mar 17, 2028
13301 N MERIDIAN AVE, BLDG. 100, STE. 101, OKLAHOMA CITY, OK 73120(405) 486-7879 Get Directions Write a Review

NPPES record last updated: March 24, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 24, 2017, Feb 14, 2017, Nov 17, 2016 (3 updates tracked since 2016).

About Jon G Holman D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JON G HOLMAN D.D.S. (NPI 1255377925) is an individual dentist in Oklahoma City, Oklahoma, licensed in Oklahoma (4246) and active in the NPI registry since June 2006. He has opted out of Medicare through March 17, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1255377925
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameJON G HOLMANCredential: D.D.S.
Location Address13301 N MERIDIAN AVE, BLDG. 100, STE. 101Oklahoma City, OK 73120-9369
Mailing Address13301 N Meridian Ave, Bldg. 100, Ste. 101Oklahoma City, OK 73120-9369 · (405) 486-7879
Phone(405) 486-7879
Sole ProprietorNo
Enumeration DateJune 21, 2006
Last NPPES UpdateMarch 24, 20173 updates tracked since enumeration
✔ NPI 1255377925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in OK · 4246
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
13301 N MERIDIAN AVE, Oklahoma City, OK 73120
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN7585410001OK

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jon G Holman D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 17, 2016 through March 17, 2028.

Opt-Out Effective DateMarch 17, 2016
Opt-Out In Effect ThroughMarch 17, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73120 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEAN R CARPENTER MDPC
Obstetrics & Gynecology
13301 N MERIDIAN AVE, #300A
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 755-9500
SAMANTHA BUGOS LPC
Counselor (Mental Health)
13301 N MERIDIAN AVE, STE 100
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 752-9500
DR. PATRICIA COX ACREE PH.D.
Psychologist (Counseling)
13301 N MERIDIAN AVE, BLDG. 100
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 752-9500
STEPHANIE DAWN WILSON PT
Physical Therapist
13301 N MERIDIAN AVE, BLDG 200
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 843-5710
RSS JON HOLMAN PLLC
Dentist (General Practice)
13301 N MERIDIAN AVE, BLDG 100, SUITE 100
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 486-7879
MS. CRYSTAL LEE RICHERSON PA-C
Physician Assistant
13301 N MERIDIAN AVE, BLDG. 400
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 755-4600
MOHAMED FAROUK KANAA MD
Internal Medicine (Hematology & Oncology)
13301 N MERIDIAN AVE, STE 501
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 752-0871
DR. CRAIG A. WOOTEN, P.C.
Clinic/Center
13301 N MERIDIAN AVE, BLDG 100 STE 101
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 751-7600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jon Holman's NPI number?

The NPI number for Jon Holman is 1255377925. It was assigned to this individual provider in the NPPES registry on June 21, 2006.

Where is Jon Holman located?

Jon Holman practices at 13301 N Meridian Ave Bldg. 100, Ste. 101, Oklahoma City, OK 73120. The listed phone number is (405) 486-7879.

What is Jon Holman's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jon Holman enrolled in Medicare?

No. Jon Holman has opted out of Medicare through March 17, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jon Holman was last updated on March 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.