Organization
DWIGHT HOLDEN MD FAPA INC.
Active
Organization
DWIGHT HOLDEN MD FAPA INC.
Active
Other names
Dwight Holden, MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY DWIGHT HOLDEN MD (OWNER)
(505) 988-7476
Entity
Organization
Contact information
Practice address
3 EAST GOLDEN EAGLE RD., SANTA FE, NM 87506-8223
(505) 988-7476
(505) 986-6453
Mailing address
3 EAST GOLDEN EAGLE RD., SANTA FE, NM 87506-8223
(505) 988-7476
(505) 986-6453
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
16440
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10047270A
MEDICAID PROVIDER ID
OK
01
—
1033133384
NPI INDIVIDUAL PROVIDER #
—
Enumeration date
08/19/2006
Last updated
07/12/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up