Individual provider Active NPI

Alan Michael Howard, D.M.D

  • Dentist
  • Encino, CA
National Provider Identifier
1598984528
Registry record updated Sep 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
39013 Issued in CA
Practice address
17071 Ventura Blvd
Ste. 102
Encino, CA 91316-4130
Phone
(818) 300-0222
Fax
(818) 300-0077
NPI assigned
Apr 25, 2007
Last updated
Sep 4, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 39013 CA Primary

Addresses

Primary practice location

17071 Ventura Blvd
Ste. 102
Encino, CA 91316-4130

Mailing address

17071 Ventura Blvd
Ste. 102
Encino, CA 91316-4130
Phone (818) 300-0222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
39013CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378252800000",
    "number": "1598984528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17071 VENTURA BLVD",
            "address_2": "STE. 102",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164130",
            "telephone_number": "818-300-0222",
            "fax_number": "818-300-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17071 VENTURA BLVD",
            "address_2": "STE. 102",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164130",
            "telephone_number": "818-300-0222",
            "fax_number": "818-300-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "ALAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2013-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "39013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; 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.