Individual provider Active NPI

Kathleen Ann Houk, DDS

  • General Practice Dentistry
  • Poland, OH
National Provider Identifier
1194828509
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
OH15452 Issued in OH
Practice address
2600 E Middletown Rd
Poland, OH 44514-3064
Phone
(330) 549-3003
Fax
(330) 549-3026
NPI assigned
Sep 7, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X OH15452 OH Primary

Addresses

Primary practice location

2600 E Middletown Rd
Poland, OH 44514-3064

Mailing address

2600 E Middletown Rd
Poland, OH 44514-3064
Phone (330) 549-3003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OH15452OHMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194828509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 E MIDDLETOWN RD",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445143064",
            "telephone_number": "330-549-3003",
            "fax_number": "330-549-3026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 E MIDDLETOWN RD",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445143064",
            "telephone_number": "330-549-3003",
            "fax_number": "330-549-3026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUK",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "OH15452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poland, OH

Sources for this page

  • 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.