Active NPI
Charles Michael Cowley, DDS
- Dentist
- Tuscumbia, AL
National Provider Identifier
1225142227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3723
- Practice address
- 121 E 5TH St
Tuscumbia, AL 35674 - Phone
- (256) 383-2182
- Fax
- (256) 383-4990
- NPI assigned
- Aug 18, 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 3723 | AL | Primary |
Addresses
Primary practice location
121 E 5TH St
Tuscumbia, AL 35674
Mailing address
121 E 5TH St
Tuscumbia, AL 35674
Phone (256) 383-2182
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008203830 | Medicaid | AL | |
| 04475382 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3723 | AL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1225142227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 E 5TH ST",
"city": "TUSCUMBIA",
"state": "AL",
"postal_code": "35674",
"telephone_number": "256-383-2182",
"fax_number": "256-383-4990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 E 5TH ST",
"city": "TUSCUMBIA",
"state": "AL",
"postal_code": "35674",
"telephone_number": "256-383-2182",
"fax_number": "256-383-4990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COWLEY",
"first_name": "CHARLES",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AL",
"license": "3723",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008203830",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04475382",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tuscumbia, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.