Individual provider Active NPI

Cammie Lynette Housh, DDS

  • Dentist
  • El Dorado Springs, MO
National Provider Identifier
1538207865
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
015828 Issued in MO
Practice address
605 E Hospital Rd
Suite #1
El Dorado Springs, MO 64744
Phone
(417) 876-3124
Fax
(417) 876-0054
NPI assigned
Feb 1, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

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
Dentist 122300000X 015828 MO Primary

Addresses

Primary practice location

605 E Hospital Rd
Suite #1
El Dorado Springs, MO 64744

Mailing address

605 E Hospital Rd
Suite #1
El Dorado Springs, MO 64744
Phone (417) 876-3124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150508001976 MO Order and Referring Only - Other (Non-Physician) 7911226139

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
015828MOMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538207865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 E HOSPITAL RD",
            "address_2": "SUITE #1",
            "city": "EL DORADO SPRINGS",
            "state": "MO",
            "postal_code": "64744",
            "telephone_number": "417-876-3124",
            "fax_number": "417-876-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 E HOSPITAL RD",
            "address_2": "SUITE #1",
            "city": "EL DORADO SPRINGS",
            "state": "MO",
            "postal_code": "64744",
            "telephone_number": "417-876-3124",
            "fax_number": "417-876-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSH",
        "first_name": "CAMMIE",
        "middle_name": "LYNETTE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "015828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado Springs, MO

Sources for this page

Verify at the official NPI Registry.