Individual provider Active NPI

Robert James Houchin, DDS

  • General Practice Dentistry
  • Gardnerville, NV
National Provider Identifier
1316992738
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4525 Issued in NV
Practice address
1329 US Highway 395 N Ste 10335
Gardnerville, NV 89410
Phone
(909) 576-3999
NPI assigned
May 24, 2006
Last updated
Feb 12, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D008977 AZ
General Practice Dentistry 1223G0001X 28166 CA
General Practice Dentistry 1223G0001X 4525 NV Primary

Addresses

Primary practice location

1329 US Highway 395 N Ste 10335
Gardnerville, NV 89410

Mailing address

1329 US Highway 395 North
Suite 10 Box 335
Gardnerville, NV 89410
Phone (909) 576-3999

Other practice location 1

8906 San Bernardino Rd
Suite 130
Rancho Cucamonga, CA 91730-8805
Phone (909) 758-9200

Other practice location 2

13985 S Virginia St Ste 806
Reno, NV 89511-8934
Phone (775) 683-3008

Other practice location 3

3943 Grand Ave
Inside Walmart
Chino, CA 91710
Phone (909) 347-6570

Other practice location 4

12721 Moreno Beach Dr
Moreno Valley, CA 92555-4411
Phone (951) 692-7300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150519002799 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6305166158

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D008977AZMDGeneral Practice Dentistry
28166CAMDGeneral Practice Dentistry
4525NVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Value Dental Centers Queen Creek Az LLC PastSince Mar 1, 2016 Accepting new patients
Value Dental Centers Moreno Valley Ca - RJ Houchin Dental Practice Inc PastSince Sep 1, 2015 Accepting new patients
Value Dental Centers Chino Ca - R J Houchin Dental Practice Inc PastSince Sep 1, 2015 Accepting new patients

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549929600000",
    "number": "1316992738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 US HIGHWAY 395 NORTH",
            "address_2": "SUITE 10 BOX 335",
            "city": "GARDNERVILLE",
            "state": "NV",
            "postal_code": "89410",
            "telephone_number": "909-576-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 US HIGHWAY 395 N STE 10335",
            "city": "GARDNERVILLE",
            "state": "NV",
            "postal_code": "89410",
            "telephone_number": "909-576-3999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8906 San Bernardino Rd",
            "address_2": "Suite 130",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917308805",
            "country_code": "US",
            "telephone_number": "909-758-9200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13985 S Virginia St Ste 806",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895118934",
            "country_code": "US",
            "telephone_number": "775-683-3008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3943 Grand Ave",
            "address_2": "Inside Walmart",
            "address_purpose": "LOCATION",
            "city": "Chino",
            "state": "CA",
            "postal_code": "91710",
            "country_code": "US",
            "telephone_number": "909-347-6570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12721 Moreno Beach Dr",
            "address_purpose": "LOCATION",
            "city": "Moreno Valley",
            "state": "CA",
            "postal_code": "925554411",
            "country_code": "US",
            "telephone_number": "951-692-7300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOUCHIN",
        "first_name": "ROBERT",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2019-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D008977",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "28166",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "4525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardnerville, NV

Sources for this page

Verify at the official NPI Registry.