Jerald Kyle House, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D7666 Issued in OR

Practice address

419 State St
Ste 4
Hood River, OR 97031-2075

Phone

(541) 387-8688

Fax

(541) 387-6785

NPI assigned

Jun 1, 2005

Last updated

Aug 9, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Oregon Pip Dental Group, PC

  • Pediatric Dentistry
  • Hood River, OR
  • NPI 1730412149
  NPD (past)

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186617600000",
    "number": "1710989827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 STATE ST",
            "address_2": "STE 4",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970312075",
            "telephone_number": "541-387-8688",
            "fax_number": "541-387-6785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 STATE ST",
            "address_2": "STE 4",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970312075",
            "telephone_number": "541-387-8688",
            "fax_number": "541-387-6785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSE",
        "first_name": "JERALD",
        "middle_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2007-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OR",
            "license": "D7666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Hopkins, PA
• Sheri Alisa Horvat, LMT
• Briana Hoskins, LPC, LMHC
• Hospice of the Gorge, Inc. (Hospice of The Gorge)
• Hospice of the Gorge, Inc.
• Skye-Ann K Howard, MSW
• Audrey Howarth, PA-C
• Stephanie Howell, PSYD
• HR Dental East
• Casper Huang, DMD

• Pediatric Dentistry in Hood River, OR
• Providers in Hood River, OR by specialty
• Pediatric Dentistry in Oregon

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