Active NPI
Larry Joseph Howenstein, DDS
- Dentist
- Fairview Heights, IL
National Provider Identifier
1346308467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 19A14874
- Practice address
- 10606 Lincoln TRL
Fairview Heights, IL 62208-1900 - Phone
- (618) 397-6727
- Fax
- (618) 397-6745
- NPI assigned
- Dec 4, 2006
- Last updated
- Aug 28, 2008
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 19A14874 | IL | Primary |
Addresses
Primary practice location
10606 Lincoln TRL
Fairview Heights, IL 62208-1900
Mailing address
10606 Lincoln TRL
Fairview Heights, IL 62208-1900
Phone (618) 397-6727
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346308467 | Other | IL | BLUE CROSS BLUE SHIELD OF MASSACHUSETTES |
| 1346308467 | Other | IL | BLUE CROSS BLUE SHEILD OF IL |
| 1346308467 | Other | IL | BLUE CROSS BLUE SHIELD OF ALABAMA |
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 |
|---|---|---|---|
| 19A14874 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Howenstein Dental, LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Fairview Heights, IL
- NPI 1487034260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219881600000",
"number": "1346308467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10606 LINCOLN TRL",
"city": "FAIRVIEW HEIGHTS",
"state": "IL",
"postal_code": "622081900",
"telephone_number": "618-397-6727",
"fax_number": "618-397-6745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10606 LINCOLN TRL",
"city": "FAIRVIEW HEIGHTS",
"state": "IL",
"postal_code": "622081900",
"telephone_number": "618-397-6727",
"fax_number": "618-397-6745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOWENSTEIN",
"first_name": "LARRY",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2008-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "19A14874",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF MASSACHUSETTES",
"identifier": "1346308467",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD OF IL",
"identifier": "1346308467",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF ALABAMA",
"identifier": "1346308467",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fairview Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.