NPIMap

Organization Active NPI

Charles W Howenstine DDS PLLC

  • Dentist
  • Saint Joseph, MI
National Provider Identifier
1356967954
Registry record updated Jun 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
CHARLES W HOWENSTINE DDS PLLC
Practice address
3386 Niles Rd
Saint Joseph, MI 49085-8800
Phone
(269) 281-8080
NPI assigned
Jun 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2020

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

Authorized official

Name
Dr. Charles Howenstine, DDSNPI 1891085676
Title
Manager
Phone
(269) 281-8080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

3386 Niles Rd
Saint Joseph, MI 49085-8800

Mailing address

3386 Niles Rd
Saint Joseph, MI 49085-8800
Phone (269) 281-8080

Other identifiers 3

IdentifierTypeStateIssuer
1033593413MedicaidMI
1851528673MedicaidMI
1891085676MedicaidMI

National Provider Directory

National Provider Directory

Locations

3386 Niles Rd
Saint Joseph, MI 49085
Phone (269) 281-8080

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592524800000",
    "number": "1356967954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3386 NILES RD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490858800",
            "telephone_number": "269-281-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3386 NILES RD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490858800",
            "telephone_number": "269-281-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES W HOWENSTINE DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-19",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A",
        "authorized_official_last_name": "HOWENSTINE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "269-281-8080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033593413",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851528673",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891085676",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; 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.