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DR. CHARLES RICHARD HOLMEN DMD
NPI 1780702068
Dentist - General Practice in Waterloo, IL

Active since March 26, 2007PECOS Enrolled
208 BRADFORD LANE, WATERLOO, IL 62298(618) 939-7181(618) 939-4500 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Charles Richard Holmen Dmd NPPES

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

DR. CHARLES RICHARD HOLMEN DMD (NPI 1780702068) is an individual general practice provider in Waterloo, Illinois and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780702068
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. CHARLES RICHARD HOLMENCredential: DMD
Location Address208 BRADFORD LANEWaterloo, IL 62298
Mailing Address208 Bradford LaneWaterloo, IL 62298 · (618) 939-7181 · Fax (618) 939-4500
Phone(618) 939-7181
Fax(618) 939-4500
Sole ProprietorNo
Enumeration DateMarch 26, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1780702068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
208 BRADFORD LANE, Waterloo, IL 62298
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Charles Richard Holmen Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62298 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$70.42 typical visit price
range $17.51 – $139.99
Typical copayment $17.60 (range $4.37 – $34.99)
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 2

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

DR DARRYLL L BEARD DMD LTD
Dentist (General Practice)
208 BRADFORD LANE
WATERLOO, IL 62298
Monroe County (618) 939-7181
DR. DARRYLL LEONARD BEARD DMD
Dentist (General Practice)
208 BRADFORD LANE
WATERLOO, IL 62298
Monroe County (618) 939-7181

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 Charles Holmen's NPI number?

The NPI number for Charles Holmen is 1780702068. It was assigned to this individual provider in the NPPES registry on March 26, 2007.

Where is Charles Holmen located?

Charles Holmen practices at 208 Bradford Lane, Waterloo, IL 62298. The listed phone number is (618) 939-7181.

What is Charles Holmen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Charles Holmen enrolled in Medicare?

Yes. Charles Holmen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charles Holmen 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.