Active NPI
Jamie Mellert Houck, D.D.S.
- Dentist
- Torrance, CA
National Provider Identifier
1740631977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 100290
- Practice address
- 3480 Torrance Blvd
Suite 100
Torrance, CA 90503-5808 - Phone
- (310) 543-1234
- Fax
- (310) 543-8795
- NPI assigned
- Jun 29, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 100290 | CA | Primary |
| General Practice Dentistry | 1223G0001X | 100290 | CA |
Addresses
Primary practice location
3480 Torrance Blvd
Suite 100
Torrance, CA 90503-5808
Mailing address
3480 Torrance Blvd
Suite 100
Torrance, CA 90503-5808
Phone (310) 543-1234
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 |
|---|---|---|---|
| 100290 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steven Brown DDS a Professional Corp | General Practice | 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.
-
- General Practice Dentistry
- Torrance, CA
- NPI 1487069381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467158400000",
"number": "1740631977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3480 TORRANCE BLVD",
"address_2": "SUITE 100",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905035808",
"telephone_number": "310-543-1234",
"fax_number": "310-543-8795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3480 TORRANCE BLVD",
"address_2": "SUITE 100",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905035808",
"telephone_number": "310-543-1234",
"fax_number": "310-543-8795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUCK",
"first_name": "JAMIE",
"middle_name": "MELLERT",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-29",
"last_updated": "2016-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "100290",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "100290",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.