Individual provider Active NPI

Charles Howenstine, D.D.S.

  • General Practice Dentistry
  • Saint Joseph, MI
National Provider Identifier
1891085676
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901020585 Issued in MI
Practice address
3386 Niles Rd
Saint Joseph, MI 49085-8800
Phone
(269) 281-8080
NPI assigned
Apr 13, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6686-15 WI
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Dentistry 1223G0001X 2901020585 MI Primary

Addresses

Primary practice location

3386 Niles Rd
Saint Joseph, MI 49085-8800

Mailing address

3012 Niles Rd
Saint Joseph, MI 49085-8653
Phone (269) 429-6184

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20150514000639 MI Order and Referring Only - DentistPractitioner - Dentist 4880914860

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6686-15WIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Charles W Howenstine DDS PLLC CurrentSince Jun 21, 2020 Accepting new patients

Locations

3386 Niles Rd
Saint Joseph, MI 49085
Phone (269) 281-8080

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.

NPI Registry JSON

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1891085676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3012 NILES RD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490858653",
            "telephone_number": "269-429-6184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3386 NILES RD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490858800",
            "telephone_number": "269-281-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWENSTINE",
        "first_name": "CHARLES",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-13",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6686-15",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901020585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MI

Sources for this page

Verify at the official NPI Registry.