Individual provider Active NPI

Susan Bernice Dowdy, M.D.

  • Family Medicine Physician
  • Lafayette, CO
National Provider Identifier
1043299936
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
CDRH.0032562 Issued in CO
Practice address
2600 Campus Dr
Suite a
Lafayette, CO 80026-3357
Phone
(303) 673-1900
Fax
(303) 673-1933
NPI assigned
Jan 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

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

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 64862 MN
Family Medicine Physician 207Q00000X MD22787 ME
Family Medicine Physician 207Q00000X 21224 AZ
Family Medicine Physician 207Q00000X MD-45826 IA
Family Medicine Physician 207Q00000X 26378 MS
Family Medicine Physician 207Q00000X 18508 NV
Family Medicine Physician 207Q00000X 314-320 WI
Family Medicine Physician 207Q00000X 036147968 IL
Family Medicine Physician 207Q00000X MD.37711 AL
Family Medicine Physician 207Q00000X 11299 SD
Family Medicine Physician 207Q00000X CDRH.0032562 CO Primary

Addresses

Primary practice location

2600 Campus Dr
Suite a
Lafayette, CO 80026-3357

Mailing address

2600 Campus Dr
Suite a
Lafayette, CO 80026-3357
Phone (303) 673-1900

Other identifiers 11

IdentifierTypeStateIssuer
4340799OtherCOAETNA
01325620MedicaidCO
1043299936OtherCONPI #
04020541MedicaidCO
3326323001OtherCOCIGNA
841365302038OtherCORKY MTN HMO
RO103008OtherCOGROUP ANTHEM BCBS
8413653020NOtherCOPACIFICARE PPO
DOA31163OtherCOANTHEM BLUECROSS
1215981634OtherCOGROUP NPI #
84136530242OtherCOPACIFICARE

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.37711ALMDFamily Medicine Physician
21224AZMDFamily Medicine Physician
MD-45826IAMDFamily Medicine Physician
036147968ILMDFamily Medicine Physician
MD22787MEMDFamily Medicine Physician
64862MNMDFamily Medicine Physician
26378MSMDFamily Medicine Physician
18508NVMDFamily Medicine Physician
11299SDMDFamily Medicine Physician
314-320WIMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1043299936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 CAMPUS DR",
            "address_2": "SUITE A",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800263357",
            "telephone_number": "303-673-1900",
            "fax_number": "303-673-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 CAMPUS DR",
            "address_2": "SUITE A",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800263357",
            "telephone_number": "303-673-1900",
            "fax_number": "303-673-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWDY",
        "first_name": "SUSAN",
        "middle_name": "BERNICE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-10",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "64862",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "MD22787",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "21224",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "MD-45826",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "26378",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "18508",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "314-320",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036147968",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD.37711",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "11299",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "CDRH.0032562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4340799",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01325620",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI #",
            "identifier": "1043299936",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04020541",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3326323001",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RKY MTN HMO",
            "identifier": "841365302038",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP ANTHEM BCBS",
            "identifier": "RO103008",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE PPO",
            "identifier": "8413653020N",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUECROSS",
            "identifier": "DOA31163",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI #",
            "identifier": "1215981634",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE",
            "identifier": "84136530242",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.