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GORDON LOGAN HOLM DDS
NPI 1508938911
Dentist in Monterey, CA

Active since November 14, 2006Opted out of Medicare · through Mar 16, 2028
969 PACIFIC ST, STE A, MONTEREY, CA 93940(831) 375-4338(831) 375-4338 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gordon Logan Holm Dds NPPES

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

GORDON LOGAN HOLM DDS (NPI 1508938911) is an individual dentist in Monterey, California, licensed in California (23515) and active in the NPI registry since November 2006. He has opted out of Medicare through March 16, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1508938911
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameGORDON LOGAN HOLMCredential: DDS
Location Address969 PACIFIC ST, STE AMonterey, CA 93940
Mailing Address969 Pacific St, Ste AMonterey, CA 93940 · (831) 375-4338 · Fax (831) 375-4338
Phone(831) 375-4338
Fax(831) 375-4338
Sole ProprietorNo
Enumeration DateNovember 14, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1508938911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 23515
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.
969 PACIFIC ST, Monterey, CA 93940
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Gordon Logan Holm Dds 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 16, 2016 through March 16, 2028.

Opt-Out Effective DateMarch 16, 2016
Opt-Out In Effect ThroughMarch 16, 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 93940 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
$94.44 typical visit price
range $61.69 – $184.30
Typical copayment $23.61 (range $15.42 – $46.07)
Most-billed visit code 99203
Established Patient
$76.53 typical visit price
range $20.34 – $151.02
Typical copayment $19.13 (range $5.08 – $37.75)
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.

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 Gordon Holm's NPI number?

The NPI number for Gordon Holm is 1508938911. It was assigned to this individual provider in the NPPES registry on November 14, 2006.

Where is Gordon Holm located?

Gordon Holm practices at 969 Pacific St Ste A, Monterey, CA 93940. The listed phone number is (831) 375-4338.

What is Gordon Holm's specialty?

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

Is Gordon Holm enrolled in Medicare?

No. Gordon Holm has opted out of Medicare through March 16, 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.

What insurance does Gordon Holm accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Florida Combined Life and Humana and 1 other insurer list Gordon Holm as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gordon Holm was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.