Individual provider Active NPI

Christopher K. Howard, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Indianapolis, IN
National Provider Identifier
1417016932
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
12010678A Issued in IN
Practice address
6443 W 10TH St
Suite 204
Indianapolis, IN 46214-6501
Phone
(317) 247-9512
Fax
(317) 484-6393
NPI assigned
Dec 8, 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
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 12010678A IN Primary

Addresses

Primary practice location

6443 W 10TH St
Suite 204
Indianapolis, IN 46214-6501

Mailing address

6443 W 10TH St
Suite 204
Indianapolis, IN 46214-6501
Phone (317) 247-9512

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210602002388 IN Practitioner - Maxillofacial SurgeryPractitioner - AnesthesiologyPractitioner - Oral SurgeryPractitioner - Dentist 3476833633 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12010678AINMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Oral and Maxillofacial Surgery CurrentSince May 4, 2021 Accepting new patients

Locations

1121 W Michigan St
#307B
Indianapolis, IN 46202
Phone (317) 274-7433

550 University Blvd
Ste 3195
Indianapolis, IN 46202
Phone (317) 274-7433

550 University Blvd
#3195
Indianapolis, IN 46202
Phone (317) 274-6300

1121 W Michigan St
Indianapolis, IN 46202
Phone (317) 274-7433

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.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417016932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6443 W 10TH ST",
            "address_2": "SUITE 204",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462146501",
            "telephone_number": "317-247-9512",
            "fax_number": "317-484-6393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6443 W 10TH ST",
            "address_2": "SUITE 204",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462146501",
            "telephone_number": "317-247-9512",
            "fax_number": "317-484-6393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "CHRISTOPHER",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IN",
            "license": "12010678A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.