Harley Edmund Houghton, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12007782A Issued in IN

Practice address

228 S Van Rensselaer St
Rensselaer, IN 47978-2817

Phone

(219) 866-4148

NPI assigned

Jan 23, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700931672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 S VAN RENSSELAER ST",
            "city": "RENSSELAER",
            "state": "IN",
            "postal_code": "479782817",
            "telephone_number": "219-866-4148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 S VAN RENSSELAER ST",
            "city": "RENSSELAER",
            "state": "IN",
            "postal_code": "479782817",
            "telephone_number": "219-866-4148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUGHTON",
        "first_name": "HARLEY",
        "middle_name": "EDMUND",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12007782A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Howard Hicks, PT
• Rhonda Lyn Hicks, PT
• Hillcrest Family Dental Center , P.C.
• Hook-Superx LLC (CVS Pharmacy #06906)
• Janet Hord
• Infuse Dental of Rensselaer LLC
• Lisa Ann Jackson, MA CCC SLP
• Jasper County After Hours Urgent Care Inc
• Jasper County Community Services, Inc.
• Jasper County EMS Board

• General Practice Dentistry in Rensselaer, IN
• Providers in Rensselaer, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.