Individual provider Active NPI

Aaron Edward Santos Howard, DDS

  • General Practice Dentistry
  • Northridge, CA
National Provider Identifier
1659040293
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
109480 Issued in CA
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

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240129004442 CA Order and Referring Only - DentistPractitioner - Dentist 6002269776

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
109480CAMDMarriage & Family Therapist
2021019856MOMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Custom Dental of Harrisonville, PLLC General Practice PastSince Sep 1, 2021 Accepting new patients
Charles Rodgers Professional Dental Corporation General Practice PastSince Oct 29, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.