Individual provider Active NPI

Ronald J. Dowgiallo, D.M.D.

  • General Practice Dentistry
  • Harwich Port, MA
National Provider Identifier
1043475833
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10378 Issued in MA
Practice address
376 Main St
Harwich Port, MA 02646-1626
Phone
(508) 432-3118
Fax
(508) 432-7963
NPI assigned
Jul 22, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10378 MA Primary

Addresses

Primary practice location

376 Main St
Harwich Port, MA 02646-1626

Mailing address

376 Main St
Harwich Port, MA 02646-1626
Phone (508) 432-3118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20150701000978 MA Order and Referring Only - DentistPractitioner - Dentist 9739491978

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10378MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald J. Dowgiallo, D.M.D. General Practice Past Accepting new patients

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": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216684800000",
    "number": "1043475833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "376 MAIN ST",
            "city": "HARWICH PORT",
            "state": "MA",
            "postal_code": "026461626",
            "telephone_number": "508-432-3118",
            "fax_number": "508-432-7963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "376 MAIN ST",
            "city": "HARWICH PORT",
            "state": "MA",
            "postal_code": "026461626",
            "telephone_number": "508-432-3118",
            "fax_number": "508-432-7963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWGIALLO",
        "first_name": "RONALD",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-22",
        "last_updated": "2008-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "10378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harwich Port, MA

Sources for this page

Verify at the official NPI Registry.