Noelle Houck-McKenney, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D010745 Issued in AZ

Practice address

1316 W Gurley St
Prescott, AZ 86305-2854

Phone

(928) 778-7410

NPI assigned

Aug 28, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Noelle Houck Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1508479460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 W GURLEY ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863052854",
            "telephone_number": "928-778-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 W GURLEY ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863052854",
            "telephone_number": "928-778-7410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 E Thunderbird Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850225396",
            "country_code": "US",
            "telephone_number": "602-641-5855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOUCK-MCKENNEY",
        "first_name": "NOELLE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2024-05-07",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "12460588-9921",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D5191",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D010745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NOELLE",
            "last_name": "HOUCK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Horizon Dental Group Prescott, LLC
• Horizon Dental PDC PLLC (Horizon Dental)
• Monica J. Horstmann, PH.D.
• Hosea E Brown MD Inc
• Dawn Hotchkiss
• Amy E Houghton, RN
• Virginia A Hout, MA, LPC
• Elizabeth L Howard, CNP
• Rebecca Howard
• Taylor Nicole Howell, COTA/L

• General Practice Dentistry in Prescott, AZ
• Providers in Prescott, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.