Douglas Robert Dowdle, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10536 Issued in CO

Practice address

15455 Gleneagle Dr Ste 110
Colorado Springs, CO 80921-2593

Phone

(719) 488-2222

Fax

(719) 488-4227

NPI assigned

Jun 25, 2008

Last updated

Sep 14, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Douglas R Dowdle, DMD, PC

  dba Gleneagle Dental

  • General Practice Dentistry
  • Colorado Springs, CO
  • NPI 1629366836
  NPD (past) Authorized official

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315958400000",
    "number": "1083876775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15455 GLENEAGLE DR STE 110",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809212593",
            "telephone_number": "719-488-2222",
            "fax_number": "719-488-4227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15455 GLENEAGLE DR STE 110",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809212593",
            "telephone_number": "719-488-2222",
            "fax_number": "719-488-4227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWDLE",
        "first_name": "DOUGLAS",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-25",
        "last_updated": "2011-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D4160",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "10536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William R Dove, PH.D.
• Aaron John Doverspike I, CRNA
• Tiffany B Dow, MA, LPCC, LAC, NCC
• Bridget Dowd
• Elizabeth Ann Dowden, LCSW
• Carrie Jane Dowdy, MA, LPC
• Stay R Dowdy
• Asha Dowell
• Charles W. Dowell, PA-C, ATC
• Giannina Echeverry Dowell, BCBA

• General Practice Dentistry in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; 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.

Verify at the official NPI Registry.