Individual provider Active NPI

Stephen P Howarth, D.M.D.

  • General Practice Dentistry
  • Wallingford, PA
National Provider Identifier
1760603237
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS022292L Issued in PA
Practice address
105 N Providence Rd
Wallingford, PA 19086-6107
Phone
(610) 566-7175
Fax
(610) 891-6447
NPI assigned
May 1, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS022292L PA Primary

Addresses

Primary practice location

105 N Providence Rd
Wallingford, PA 19086-6107

Mailing address

105 N Providence Rd
Wallingford, PA 19086-6107
Phone (610) 566-7175

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20160317000504 PA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5395041354

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS022292LPAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760603237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N PROVIDENCE RD",
            "city": "WALLINGFORD",
            "state": "PA",
            "postal_code": "190866107",
            "telephone_number": "610-566-7175",
            "fax_number": "610-891-6447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N PROVIDENCE RD",
            "city": "WALLINGFORD",
            "state": "PA",
            "postal_code": "190866107",
            "telephone_number": "610-566-7175",
            "fax_number": "610-891-6447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARTH",
        "first_name": "STEPHEN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS022292L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallingford, PA

Sources for this page

Verify at the official NPI Registry.