Active NPI
Charles Gregory Houck, DDS
- Dentist
- San Diego, CA
National Provider Identifier
1679816490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS030150L
- Practice address
- 446 Alta Rd
Suite 5400
San Diego, CA 92158-0001 - Phone
- (619) 710-8353
- NPI assigned
- Mar 29, 2013
- Last updated
- Mar 29, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS030150L | PA | Primary |
Addresses
Primary practice location
446 Alta Rd
Suite 5400
San Diego, CA 92158-0001
Mailing address
1365 Caminito Amerigo
#47
Chula Vista, CA 91915-3137
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
| License | State | Type | Specialty |
|---|---|---|---|
| DS030150L | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364515200000",
"number": "1679816490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1365 CAMINITO AMERIGO",
"address_2": "#47",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919153137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "446 ALTA RD",
"address_2": "SUITE 5400",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921580001",
"telephone_number": "619-710-8353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUCK",
"first_name": "CHARLES",
"middle_name": "GREGORY",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-29",
"last_updated": "2013-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS030150L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.