Individual provider Active NPI

Kevin T Dowd, DDS

  • General Practice Dentistry
  • Pleasant Hill, CA
National Provider Identifier
1114096799
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
39628 Issued in CA
Practice address
401 Gregory LN
Suite #112
Pleasant Hill, CA 94523-2800
Phone
(925) 680-6700
Fax
(925) 680-4510
NPI assigned
Nov 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 39628 CA Primary

Addresses

Primary practice location

401 Gregory LN
Suite #112
Pleasant Hill, CA 94523-2800

Mailing address

401 Gregory LN
Suite #112
Pleasant Hill, CA 94523-2800
Phone (925) 680-6700

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
39628CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114096799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 GREGORY LN",
            "address_2": "SUITE #112",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232800",
            "telephone_number": "925-680-6700",
            "fax_number": "925-680-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 GREGORY LN",
            "address_2": "SUITE #112",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232800",
            "telephone_number": "925-680-6700",
            "fax_number": "925-680-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWD",
        "first_name": "KEVIN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Hill, CA

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.