DR. KENNETH ALAN HOLMAN D.D.S.
NPI 1326300773
Dentist - Orthodontics and Dentofacial Orthopedics in Redwood City, CA

Active since June 12, 2012Opted out of Medicare · through Aug 1, 2027
52 ARCH ST, SUITE NO 2, REDWOOD CITY, CA 94062(650) 366-5758(650) 366-0714 Get Directions Write a Review

NPPES record last updated: September 20, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kenneth Alan Holman D.d.s. NPPES

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

DR. KENNETH ALAN HOLMAN D.D.S. (NPI 1326300773) is an individual orthodontics and dentofacial orthopedics provider in Redwood City, California, licensed in California (23516) and active in the NPI registry since June 2012. He has opted out of Medicare through August 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1326300773
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. KENNETH ALAN HOLMANCredential: D.D.S.
Location Address52 ARCH ST, SUITE NO 2Redwood City, CA 94062-1469
Mailing Address52 Arch St, Suite No 2Redwood City, CA 94062-1469 · (650) 366-5758 · Fax (650) 366-0714
Fax(650) 366-0714
Sole ProprietorYes
Enumeration DateJune 12, 2012
Last NPPES UpdateSeptember 20, 2012
NPI 1326300773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in CA · 23516
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
52 ARCH ST, Redwood City, CA 94062

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Kenneth Alan 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 August 1, 2015 through August 1, 2027.

Opt-Out Effective DateAugust 1, 2015
Opt-Out In Effect ThroughAugust 1, 2027Opt-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 94062 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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

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

Dentist (Orthodontics and Dentofacial Orthopedics)
52 ARCH ST, #2
REDWOOD CITY, CA 94062

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 Kenneth Holman's NPI number?

The NPI number for Kenneth Holman is 1326300773. It was assigned to this individual provider in the NPPES registry on June 12, 2012.

Where is Kenneth Holman located?

Kenneth Holman practices at 52 Arch St Suite No 2, Redwood City, CA 94062. The listed phone number is (650) 366-5758.

What is Kenneth Holman's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

Is Kenneth Holman enrolled in Medicare?

No. Kenneth Holman has opted out of Medicare through August 1, 2027. 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 Kenneth Holman was last updated on September 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.