Active NPI
Nicholas Lloyd Houk, DDS
- General Practice Dentistry
- Excelsior Springs, MO
National Provider Identifier
1306850680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 012083
- Practice address
- 196 S. McCleary Rd
Excelsior Springs, MO 64024-1183 - Phone
- (816) 630-5713
- Fax
- (816) 630-0392
- NPI assigned
- Jul 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 012083 | MO | Primary |
Addresses
Primary practice location
196 S. McCleary Rd
Excelsior Springs, MO 64024-1183
Mailing address
196 S. McCleary Rd
Excelsior Springs, MO 64024-1183
Phone (816) 630-5713
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excelsior Springs Family Dentistry LLC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Excelsior Springs, MO
- NPI 1508330986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548201600000",
"number": "1306850680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "196 S. MCCLEARY RD",
"city": "EXCELSIOR SPRINGS",
"state": "MO",
"postal_code": "640241183",
"telephone_number": "816-630-5713",
"fax_number": "816-630-0392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "196 S. MCCLEARY RD",
"city": "EXCELSIOR SPRINGS",
"state": "MO",
"postal_code": "640241183",
"telephone_number": "816-630-5713",
"fax_number": "816-630-0392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUK",
"first_name": "NICHOLAS",
"middle_name": "LLOYD",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-29",
"last_updated": "2019-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MO",
"license": "012083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Excelsior Springs, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.