Active NPI
John Barry Howell, DDS
- Dentist
- Urbana, IL
National Provider Identifier
1497887434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019021287
- Practice address
- 1209 E Colorado Ave
Urbana, IL 61801-6392 - Phone
- (217) 367-8000
- NPI assigned
- Mar 12, 2007
- 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 | 019021287 | IL | Primary |
Addresses
Primary practice location
1209 E Colorado Ave
Urbana, IL 61801-6392
Mailing address
1209 E Colorado Ave
Urbana, IL 61801-6392
Phone (217) 367-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160209001655 | IL | Order and Referring Only - Oral Surgery | 4789988999 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019021287 | IL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679875200000",
"number": "1497887434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1209 E COLORADO AVE",
"city": "URBANA",
"state": "IL",
"postal_code": "618016392",
"telephone_number": "217-367-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1209 E COLORADO AVE",
"city": "URBANA",
"state": "IL",
"postal_code": "618016392",
"telephone_number": "217-367-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOWELL",
"first_name": "JOHN",
"middle_name": "BARRY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-12",
"last_updated": "2023-03-27",
"certification_date": "2023-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019021287",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Urbana, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.