Active NPI
Frederick Howard Howdy Jr., D.D.S.
- General Practice Dentistry
- Washington, NC
National Provider Identifier
1215958228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4651
- Practice address
- 1103 Brown St
Washington, NC 27889-3766 - Phone
- (252) 946-3355
- Fax
- (252) 948-0578
- NPI assigned
- Jul 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4651 | NC | Primary |
Addresses
Primary practice location
1103 Brown St
Washington, NC 27889-3766
Mailing address
1103 Brown St
Washington, NC 27889-3766
Phone (252) 946-3355
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01829 | Other | NC | BCBS |
| 4651 | Other | NC | DELTA |
| 8994172 | Medicaid | NC | |
| 14828119-UC | Other | ND | UNITED CONCORDIA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4651 | NC | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262822400000",
"number": "1215958228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1103 BROWN ST",
"city": "WASHINGTON",
"state": "NC",
"postal_code": "278893766",
"telephone_number": "252-946-3355",
"fax_number": "252-948-0578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1103 BROWN ST",
"city": "WASHINGTON",
"state": "NC",
"postal_code": "278893766",
"telephone_number": "252-946-3355",
"fax_number": "252-948-0578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOWDY",
"first_name": "FREDERICK",
"middle_name": "HOWARD",
"name_suffix": "Jr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-22",
"last_updated": "2010-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "4651",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "01829",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA",
"identifier": "4651",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8994172",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "14828119-UC",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.