Individual provider Active NPI

William Bruce Howerton Jr., DDS, MS

  • Oral and Maxillofacial Radiology Dentistry
  • Raleigh, NC
National Provider Identifier
1619997392
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Radiology DentistryTaxonomy code 1223X0008X
License
5554 Issued in NC
Practice address
3200 Blue Ridge Rd
Suite 218
Raleigh, NC 27612-8086
Phone
(919) 534-7000
Fax
(919) 534-7003
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 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 Radiology Dentistry 1223X0008X 5554 NC Primary

Addresses

Primary practice location

3200 Blue Ridge Rd
Suite 218
Raleigh, NC 27612-8086

Mailing address

224 Edgewater Cir
Chapel Hill, NC 27516-4418
Phone (919) 960-9604

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
5554NCMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1619997392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 EDGEWATER CIR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275164418",
            "telephone_number": "919-960-9604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 BLUE RIDGE RD",
            "address_2": "SUITE 218",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276128086",
            "telephone_number": "919-534-7000",
            "fax_number": "919-534-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWERTON",
        "first_name": "WILLIAM",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0008X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Radiology",
            "state": "NC",
            "license": "5554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.