Organization Active NPI

Houseman Dental Office Inc.

  • Dentist
  • Jerseyville, IL
National Provider Identifier
1770837544
Registry record updated Nov 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
HOUSEMAN DENTAL OFFICE INC.
Practice address
308 S Washington St
Jerseyville, IL 62052-1672
Phone
(618) 498-3621
Fax
(618) 498-3429
NPI assigned
Nov 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2012

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

Authorized official

Name
Dr. John Henry Houseman, D.M.D.NPI 1568587673
Title
Principal
Phone
(618) 498-3621

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

308 S Washington St
Jerseyville, IL 62052-1672

Mailing address

308 S Washington St
Jerseyville, IL 62052-1672
Phone (618) 498-3621

National Provider Directory

National Provider Directory

Locations

308 S Washington St
Jerseyville, IL 62052
Phone (618) 498-3621

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1351728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351728000000",
    "number": "1770837544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 S WASHINGTON ST",
            "city": "JERSEYVILLE",
            "state": "IL",
            "postal_code": "620521672",
            "telephone_number": "618-498-3621",
            "fax_number": "618-498-3429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 S WASHINGTON ST",
            "city": "JERSEYVILLE",
            "state": "IL",
            "postal_code": "620521672",
            "telephone_number": "618-498-3621",
            "fax_number": "618-498-3429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSEMAN DENTAL OFFICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-01",
        "last_updated": "2012-11-01",
        "status": "A",
        "authorized_official_last_name": "HOUSEMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "618-498-3621",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jerseyville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; 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.