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DR. RYAN HOLMES DDS
NPI 1952651069
Dentist - Oral and Maxillofacial Radiology in Boise, ID

Active since September 17, 2012PECOS Enrolled
9973 W LILLYWOOD DR, BOISE, ID 83709(208) 918-3384 Get Directions Write a Review

NPPES record last updated: April 2, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 2, 2021, Mar 17, 2018 (2 updates tracked since 2018).

About Dr. Ryan Holmes Dds NPPES

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

DR. RYAN HOLMES DDS (NPI 1952651069) is an individual oral and maxillofacial radiology provider in Boise, Idaho, licensed in Idaho (D-4916-RD) and active in the NPI registry since September 2012. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1952651069
Entity TypeIndividualMale
Primary Taxonomy1223X0008X
Provider Legal NameDR. RYAN HOLMESCredential: DDS
Location Address9973 W LILLYWOOD DRBoise, ID 83709
Mailing Address10400 W Overland Rd # 314Boise, ID 83709-1433 · (208) 918-3384
Phone(208) 918-3384
Sole ProprietorNo
Enumeration DateSeptember 17, 2012
Last NPPES UpdateApril 2, 20212 updates tracked since enumeration
NPPES CertifiedMarch 13, 2021
✔ NPI 1952651069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial RadiologyDental Providers
Taxonomy Code1223X0008X
Licenses✔ Licensed in ID · D-4916-RD✔ Licensed in NY · 061449
Definition
The specialty of dentistry and discipline of radiology concerned with the production and interpretation of images and data produced by all modalities of radiant energy that are used for the diagnosis and management of diseases, disorders and conditions of the oral and maxillofacial region.
Also ListedDentistTaxonomy 122300000X · License 61915 (CA)
9973 W LILLYWOOD DR, Boise, ID 83709
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Secondary Practice Locations 2

Location 12080 Child StJacksonville, FL 32214-5005 · Phone (904) 546-7100
Location 2695 Kinkaid RoadAnnapolis, MD 21402-5050 · Phone (410) 293-3944

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. Ryan Holmes Dds 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 83709 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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.

TRUE VIEW DENTAL RADIOLOGY, PLLC
Dentist (Oral and Maxillofacial Radiology)
9973 W LILLYWOOD DR
BOISE, ID 83709
Ada County (208) 918-3384

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 Ryan Holmes's NPI number?

The NPI number for Ryan Holmes is 1952651069. It was assigned to this individual provider in the NPPES registry on September 17, 2012.

Where is Ryan Holmes located?

Ryan Holmes practices at 9973 W Lillywood Dr, Boise, ID 83709. The listed phone number is (208) 918-3384.

What is Ryan Holmes's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Radiology, with taxonomy code 1223X0008X.

Is Ryan Holmes enrolled in Medicare?

Yes. Ryan Holmes is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ryan Holmes was last updated on April 2, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.