Active NPI
Peter E McGowan, DDS
- General Practice Dentistry
- Toledo, OH
National Provider Identifier
1063514099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 19727
- Practice address
- 5951 Heatherdowns Blvd
Dr Peter McGowan DDS Inc
Toledo, OH 43614 - Phone
- (419) 866-0999
- Fax
- (419) 866-1271
- NPI assigned
- Sep 1, 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 19727 | OH | Primary |
Addresses
Primary practice location
5951 Heatherdowns Blvd
Dr Peter McGowan DDS Inc
Toledo, OH 43614
Mailing address
5951 Heatherdowns Blvd
Dr Peter McGowan DDS Inc
Toledo, OH 43614
Phone (419) 866-0999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150324002249 | OH | Order and Referring Only - Dentist | 6406173830 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio Dental Professionals, Delisle, P.C. | 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.
-
dba Toledo Family Dental Care
- General Practice Dentistry
- Toledo, OH
- NPI 1942896204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063514099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5951 HEATHERDOWNS BLVD",
"address_2": "DR PETER MCGOWAN DDS INC",
"city": "TOLEDO",
"state": "OH",
"postal_code": "43614",
"telephone_number": "419-866-0999",
"fax_number": "419-866-1271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5951 HEATHERDOWNS BLVD",
"address_2": "DR PETER MCGOWAN DDS INC",
"city": "TOLEDO",
"state": "OH",
"postal_code": "43614",
"telephone_number": "419-866-0999",
"fax_number": "419-866-1271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGOWAN",
"first_name": "PETER",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "19727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.