Active NPI
Aaron Edward Santos Howard, DDS
- General Practice Dentistry
- Northridge, CA
National Provider Identifier
1659040293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 109480
- Practice address
- 18519 Devonshire St
Northridge, CA 91324-1308 - Phone
- (818) 831-9990
- Fax
- (818) 831-9996
- NPI assigned
- Sep 8, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2021019856 | MO | |
| General Practice Dentistry | 1223G0001X | 109480 | CA | Primary |
Addresses
Primary practice location
18519 Devonshire St
Northridge, CA 91324-1308
Mailing address
18519 Devonshire St
Northridge, CA 91324-1308
Phone (818) 831-9990
Other practice location 1
2100 N State Route 291
Harrisonville, MO 64701-1226
Phone (816) 884-1006
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | harrisonville@customdentalusa.com | ||
| Direct Messaging Address | NorthridgeDentalOffice@smilegeneration.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- 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 |
|---|---|---|---|---|
| I20240129004442 | CA | Order and Referring Only - Dentist | 6002269776 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109480 | CA | MD | Marriage & Family Therapist |
| 2021019856 | MO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Custom Dental of Harrisonville, PLLC | General Practice | Past | Accepting new patients |
| Charles Rodgers Professional Dental Corporation | General Practice | Past | Accepting new patients |
Interoperability endpoints
- northridgedentaloffice@smilegeneration.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Northridge, CA
- NPI 1174618946
-
- General Practice Dentistry
- Harrisonville, MO
- NPI 1215231360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698278400000",
"number": "1659040293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18519 DEVONSHIRE ST",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913241308",
"telephone_number": "818-831-9990",
"fax_number": "818-831-9996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18519 DEVONSHIRE ST",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913241308",
"telephone_number": "818-831-9990",
"fax_number": "818-831-9996"
}
],
"practiceLocations": [
{
"address_1": "2100 N State Route 291",
"address_purpose": "LOCATION",
"city": "Harrisonville",
"state": "MO",
"postal_code": "647011226",
"country_code": "US",
"telephone_number": "816-884-1006",
"fax_number": "816-884-1008",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOWARD",
"first_name": "AARON",
"middle_name": "EDWARD SANTOS",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-08",
"last_updated": "2023-10-26",
"certification_date": "2023-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MO",
"license": "2021019856",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "109480",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "harrisonville@customdentalusa.com",
"affiliation": "N",
"address_1": "2100 N State Route 291",
"city": "Harrisonville",
"state": "MO",
"country_code": "US",
"postal_code": "647011226",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "NorthridgeDentalOffice@smilegeneration.com",
"affiliation": "N",
"address_1": "18519 Devonshire St",
"city": "Northridge",
"state": "CA",
"country_code": "US",
"postal_code": "913241308",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.