CODY JOHN HOLMGREN
NPI 1952183089
Dentist in Portage, IN
About Cody John Holmgren NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CODY JOHN HOLMGREN (NPI 1952183089) is an individual dentist in Portage, Indiana, licensed in Indiana (12014417A) and active in the NPI registry since October 2023. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Cody John Holmgren is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46368 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PORTAGE, IN 46368
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 Cody Holmgren's NPI number?
The NPI number for Cody Holmgren is 1952183089. It was assigned to this individual provider in the NPPES registry on October 13, 2023.
Where is Cody Holmgren located?
Cody Holmgren practices at 6050 Sterling Creek Rd, Portage, IN 46368. The listed phone number is (219) 763-8112.
What is Cody Holmgren's specialty?
The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.
Is Cody Holmgren enrolled in Medicare?
Yes. Cody Holmgren is registered in the Medicare PECOS enrollment system.
What insurance does Cody Holmgren accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Alabama and 9 other insurers list Cody Holmgren 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 Cody Holmgren was last updated on May 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Cody John Holmgren · NPI 1952183089
Dentist provider in Portage, Indiana. Individual provider, active in the CMS NPPES registry since October 13, 2023.
## Identity
- **NPI:** 1952183089 (Entity type: Individual)
- **Enumerated:** October 13, 2023
- **Primary specialty:** Dentist · taxonomy 122300000X
- **State license:** 12014417A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 6050 STERLING CREEK RD, Portage, IN 46368-7752
- **Phone:** (219) 763-8112
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** May 30, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1952183089) · Data from the CMS NPPES public registry.