Active NPI
David Wayne Howington, DMD
- Dentist
- Moultrie, GA
National Provider Identifier
1720141187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN011554
- Practice address
- 8 Long Leaf Office Park
Moultrie, GA 31768-6780 - Phone
- (229) 985-8504
- Fax
- (229) 890-6080
- NPI assigned
- Dec 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | DN011554 | GA | Primary |
Addresses
Primary practice location
8 Long Leaf Office Park
Moultrie, GA 31768-6780
Mailing address
8 Long Leaf Office Park
Moultrie, GA 31768-6780
Phone (229) 985-8504
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00811181C | Medicaid | GA |
Other names 1
- Dr. David Wayne Howington
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- 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 |
|---|---|---|---|---|
| I20150413000260 | GA | Order and Referring Only - Oral Surgery | 8921326562 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN011554 | GA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335139200000",
"number": "1720141187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 LONG LEAF OFFICE PARK",
"city": "MOULTRIE",
"state": "GA",
"postal_code": "317686780",
"telephone_number": "229-985-8504",
"fax_number": "229-890-6080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 LONG LEAF OFFICE PARK",
"city": "MOULTRIE",
"state": "GA",
"postal_code": "317686780",
"telephone_number": "229-985-8504",
"fax_number": "229-890-6080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOWINGTON",
"first_name": "DAVID",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-18",
"last_updated": "2012-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN011554",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00811181C",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DAVID",
"last_name": "HOWINGTON",
"middle_name": "WAYNE",
"prefix": "DR.",
"credential": "DMD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Moultrie, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; 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.