Individual provider Active NPI

Chesley Raymond Houske Jr., DDS

  • General Practice Dentistry
  • Torrance, CA
National Provider Identifier
1851688626
Registry record updated Jun 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
32425 Issued in CA
Practice address
1607 Cravens Ave
Torrance, CA 90501-3203
Phone
(310) 782-2008
Fax
(310) 782-6431
NPI assigned
Jun 30, 2011
Last updated
Jun 28, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2013

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 32425 CA Primary

Addresses

Primary practice location

1607 Cravens Ave
Torrance, CA 90501-3203

Mailing address

1607 Cravens Ave
Torrance, CA 90501-3203
Phone (310) 782-2008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20151201001765 CA Order and Referring Only - DentistPractitioner - Dentist 5092015818

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chesley R Houske Jr , DDS, Inc 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372377600000",
    "number": "1851688626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 CRAVENS AVE",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905013203",
            "telephone_number": "310-782-2008",
            "fax_number": "310-782-6431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 CRAVENS AVE",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905013203",
            "telephone_number": "310-782-2008",
            "fax_number": "310-782-6431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSKE",
        "first_name": "CHESLEY",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-30",
        "last_updated": "2013-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "32425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.