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TREVOR HOLLEMAN DDS
NPI 1588083711
Dentist - Oral and Maxillofacial Surgery in Sioux Falls, SD

Active since April 15, 2014Opted out of Medicare · through Jun 27, 2028
1700 S SOUTHEASTERN AVE, SIOUX FALLS, SD 57103(605) 331-5059(605) 275-6725 Get Directions Write a Review

NPPES record last updated: August 21, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Trevor Holleman Dds NPPES

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

TREVOR HOLLEMAN DDS (NPI 1588083711) is an individual oral and maxillofacial surgery provider in Sioux Falls, South Dakota, licensed in South Dakota (D1200) and active in the NPI registry since April 2014. He has opted out of Medicare through June 27, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1588083711
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameTREVOR HOLLEMANCredential: DDS
Location Address1700 S SOUTHEASTERN AVESioux Falls, SD 57103
Mailing Address1700 S Southeastern AveSioux Falls, SD 57103-3227 · (605) 331-5059 · Fax (605) 275-6725
Phone(605) 331-5059
Fax(605) 275-6725
Sole ProprietorNo
Enumeration DateApril 15, 2014
Last NPPES UpdateAugust 21, 2018
✔ NPI 1588083711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in SD · D1200
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1700 S SOUTHEASTERN AVE, Sioux Falls, SD 57103
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Trevor Holleman 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 June 27, 2018 through June 27, 2028.

Opt-Out Effective DateJune 27, 2018
Opt-Out In Effect ThroughJune 27, 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 57103 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
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 3

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

DR. ABTIN ETEZADI-TABRIZI DMD
Dentist (Oral and Maxillofacial Surgery)
1700 S SOUTHEASTERN AVE
SIOUX FALLS, SD 57103
Minnehaha County (605) 331-5059
RIVER RIDGE ORAL & MAXILLOFACIAL SURGICAL CENTER
Dentist (Oral and Maxillofacial Surgery)
1700 S SOUTHEASTERN AVE
SIOUX FALLS, SD 57103
Minnehaha County (605) 331-5059
DR. ANDREW C HILLE DMD
Dentist (Oral and Maxillofacial Surgery)
1700 S SOUTHEASTERN AVE
SIOUX FALLS, SD 57103
Minnehaha County (605) 331-5059

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 Trevor Holleman's NPI number?

The NPI number for Trevor Holleman is 1588083711. It was assigned to this individual provider in the NPPES registry on April 15, 2014.

Where is Trevor Holleman located?

Trevor Holleman practices at 1700 S Southeastern Ave, Sioux Falls, SD 57103. The listed phone number is (605) 331-5059.

What is Trevor Holleman's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Trevor Holleman enrolled in Medicare?

No. Trevor Holleman has opted out of Medicare through June 27, 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 Trevor Holleman accept?

Health plans from Avera Health Plans and Sanford Health Plan list Trevor Holleman 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 Trevor Holleman was last updated on August 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.