Richard E. Howell III, D.D.S
Individual provider Active NPI Dentist · Lordsburg, NM
NPI 1104948355 · NPPES record last updated Mar 26, 2018
Key facts
- NPI
- 1104948355
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DD4446 (NM)
- Practice address
- 530 De Moss St
Lordsburg, NM 88045-2618 - Phone
- (575) 542-8384
- Fax
- (575) 542-8387
- NPI assigned
- Apr 6, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160428001161 | NM | Order and Referring Only - Dentist |
7517266372 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 072863 | IA | MD | Dentist |
| DD4446 | NM | MD | Dentist |
Interoperability endpoints
- richard.howell.p29@direct.fhn-fqhc.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 072863 | IA | |
| Dentist | 122300000X | DD4446 | NM | Yes |
Addresses
Primary practice location
530 De Moss St
Lordsburg, NM 88045-2618
Mailing address
PO Drawer PH
Chinle, AZ 86503
Phone (928) 674-7001
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 528218 | Medicaid | AZ |
Other providers in Lordsburg, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.