Ellen M Dowden, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

7242-15 Issued in WI

Practice address

1163 Grand Ave
Hartford, WI 53027-2458

Phone

(262) 673-7826

NPI assigned

Jun 6, 2014

Last updated

Sep 17, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• 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.

• Grand Avenue Dental Care, LLC

  • Dental Clinic/Center
  • Hartford, WI
  • NPI 1255102323
  NPD (past)
• Peter F Wilk D.D.S.

  • Dentist
  • Hartford, WI
  • NPI 1679864631
  NPD (past)

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

{
    "created_epoch": "1402012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410912000000",
    "number": "1134532294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1163 GRAND AVE",
            "city": "HARTFORD",
            "state": "WI",
            "postal_code": "530272458",
            "telephone_number": "262-673-7826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1163 GRAND AVE",
            "city": "HARTFORD",
            "state": "WI",
            "postal_code": "530272458",
            "telephone_number": "262-673-7826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWDEN",
        "first_name": "ELLEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-06",
        "last_updated": "2014-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "7242-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Agnes P Dietenberger, PTA, CMT
• Joshua Dilday, D.O.
• Luann L Doll, RN
• Jennifer Lyn Donath, NP
• Keith J Doubleday, D.D.S.
• Dr. Espinosa DDS Tooth Or Gum, LLC (Tooth or Gum LLC)
• Dakota Ann Drolshagen, RN
• Dana Lauren Dubois, OTR
• Katherine E Duckert, SLP
• Kamalpreet Dulai, MD

• Dentist in Hartford, WI
• Providers in Hartford, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; 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.