Grady K Howard Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

004650 Issued in NC

Practice address

510 W King St
Kings Mountain, NC 28086-3310

Phone

(704) 739-1331

Fax

(704) 739-0211

NPI assigned

Jun 29, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013945989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 W KING ST",
            "address_2": "PO BOX 117",
            "city": "KINGS MOUNTAIN",
            "state": "NC",
            "postal_code": "280863310",
            "telephone_number": "704-739-1331",
            "fax_number": "704-739-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 W KING ST",
            "city": "KINGS MOUNTAIN",
            "state": "NC",
            "postal_code": "280863310",
            "telephone_number": "704-739-1331",
            "fax_number": "704-739-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "GRADY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "004650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8994162",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sean Clair Hickman, DC
• Michael Andrew Hollifield, D.M.D.
• Hunter Evan Hopkins, MD
• Javonna Breshea Hopper
• Elizabeth Horsley
• Lisa Beeler Huntsinger, FNP-BC
• Ingles Markets Inc
• J B Gentry MD PA
• Dominique L. Jackson, DMSC, PA-C
• Peter S. Jeon, DO

• General Practice Dentistry in Kings Mountain, NC
• Providers in Kings Mountain, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.