Individual provider Active NPI

Cameron Michael Howard, D.M.D.

  • Dentist
  • Cumming, GA
National Provider Identifier
1952530644
Registry record updated Jun 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DNO14143 Issued in GA
Practice address
975 Peachtree Pkwy
Suite B
Cumming, GA 30041-6828
Phone
(770) 624-0029
NPI assigned
Jul 2, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN18260 FL
Dentist 122300000X DNO14143 GA Primary

Addresses

Primary practice location

975 Peachtree Pkwy
Suite B
Cumming, GA 30041-6828

Mailing address

975 Peachtree Pkwy
Suite B
Cumming, GA 30041-6828
Phone (770) 624-0029

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jun 9, 2016 through Jun 9, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN18260FLMDDentist
DNO14143GAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435190400000",
    "number": "1952530644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 PEACHTREE PKWY",
            "address_2": "SUITE B",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300416828",
            "telephone_number": "770-624-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 PEACHTREE PKWY",
            "address_2": "SUITE B",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300416828",
            "telephone_number": "770-624-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "CAMERON",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-02",
        "last_updated": "2015-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN18260",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DNO14143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.