Active NPI
David W. Howard, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Traverse City, MI
National Provider Identifier
1982651980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 2901011173
- Practice address
- 12776 S West Bay Shore Dr
Traverse City, MI 49684-5451 - Phone
- (231) 946-3512
- Fax
- (231) 946-1908
- NPI assigned
- May 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 2901011173 | MI | Primary |
Addresses
Primary practice location
12776 S West Bay Shore Dr
Traverse City, MI 49684-5451
Mailing address
3124 Ishpeming TRL
Traverse City, MI 49686-8695
Phone (231) 941-8331
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4054592 | Medicaid | MI | |
| 1003095605 | Other | MI | NPI GROUP # |
| 3012275 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grand Traverse Oral Surgery, P.C. | Oral and Maxillofacial Surgery | Past | Accepting new patients |
| Cadillac Oral Surgery Assoc | Oral and Maxillofacial Surgery | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Cadillac, MI
- NPI 1588618912
-
- Oral and Maxillofacial Surgery (Dentist)
- Traverse City, MI
- NPI 1003095605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198713600000",
"number": "1982651980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3124 ISHPEMING TRL",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496868695",
"telephone_number": "231-941-8331",
"fax_number": "231-946-1908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12776 S WEST BAY SHORE DR",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496845451",
"telephone_number": "231-946-3512",
"fax_number": "231-946-1908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOWARD",
"first_name": "DAVID",
"middle_name": "W.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-27",
"last_updated": "2007-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "MI",
"license": "2901011173",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4054592",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI GROUP #",
"identifier": "1003095605",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3012275",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.