Active NPI
Monroe M Howell, DDS
- Periodontics
- Thibodaux, LA
National Provider Identifier
1730269754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 3696
- Practice address
- 1117 Canal Blvd
Thibodaux, LA 70301-4509 - Phone
- (985) 446-3855
- Fax
- (985) 446-3895
- NPI assigned
- Oct 16, 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 3696 | LA | Primary |
Addresses
Primary practice location
1117 Canal Blvd
Thibodaux, LA 70301-4509
Mailing address
1117 Canal Blvd
Thibodaux, LA 70301-4509
Phone (985) 446-3855
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3696 | LA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smile Dentistry LLC | Periodontics | Past | Accepting new patients |
Organizations & group practices 1
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": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730269754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1117 CANAL BLVD",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "703014509",
"telephone_number": "985-446-3855",
"fax_number": "985-446-3895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1117 CANAL BLVD",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "703014509",
"telephone_number": "985-446-3855",
"fax_number": "985-446-3895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOWELL",
"first_name": "MONROE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "LA",
"license": "3696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Thibodaux, LA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.