Individual provider Active NPI

Demetri Isaac Howerton, DMD, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Salem, OR
National Provider Identifier
1851831747
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
D11561 Issued in OR
Practice address
2266 Mission St SE
Salem, OR 97302-1267
Phone
(503) 375-2000
NPI assigned
Feb 27, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Oral and Maxillofacial Surgery (Dentist) 1223S0112X D11561 OR Primary

Addresses

Primary practice location

2266 Mission St SE
Salem, OR 97302-1267

Mailing address

2266 Mission St SE
Salem, OR 97302-1267
Phone (503) 375-2000

Other practice location 1

1040 24th Ave SW
Albany, OR 97321-7539
Phone (541) 924-9000

Other practice location 2

2125 NW Professional Dr
Corvallis, OR 97330-3886
Phone (541) 757-1566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20170913001413 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0042583072

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D11561ORMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Hhhkc Dental LLC Oral and Maxillofacial Surgery CurrentSince Aug 1, 2002 Accepting new patients

Locations

1040 24th Ave SW
Albany, OR 97321
Phone (541) 924-9000

2125 NW Professional Dr
Corvallis, OR 97330
Phone (541) 757-1566

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": "1488153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1851831747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2266 MISSION ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973021267",
            "telephone_number": "503-375-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2266 MISSION ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973021267",
            "telephone_number": "503-375-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1040 24th Ave SW",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "OR",
            "postal_code": "973217539",
            "country_code": "US",
            "telephone_number": "541-924-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2125 NW Professional Dr",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973303886",
            "country_code": "US",
            "telephone_number": "541-757-1566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOWERTON",
        "first_name": "DEMETRI",
        "middle_name": "ISAAC",
        "credential": "DMD, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-27",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OR",
            "license": "D11561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.