Individual provider Active NPI

Howard David Listopad, DDS

  • General Practice Dentistry
  • Coral Springs, FL
National Provider Identifier
1366523052
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN15690 Issued in FL
Practice address
10161 W Sample Rd
Suite a
Coral Springs, FL 33065-3954
Phone
(954) 752-2970
Fax
(954) 753-5810
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN15690 FL Primary

Addresses

Primary practice location

10161 W Sample Rd
Suite a
Coral Springs, FL 33065-3954

Mailing address

10161 W Sample Rd
Suite a
Coral Springs, FL 33065-3954
Phone (954) 752-2970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20150604002073 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8628206125

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chase Dental Sleepcare of Coral Springs General Practice Past Accepting new patients
Listopad and Finder DDS PA PastSince Mar 1, 2017 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366523052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10161 W SAMPLE RD",
            "address_2": "SUITE A",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330653954",
            "telephone_number": "954-752-2970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10161 W SAMPLE RD",
            "address_2": "SUITE A",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330653954",
            "telephone_number": "954-752-2970",
            "fax_number": "954-753-5810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISTOPAD",
        "first_name": "HOWARD",
        "middle_name": "DAVID",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN15690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.