Organization Active NPI

David Dowell DPM

  • Durable Medical Equipment & Medical Supplies
  • Joplin, MO
National Provider Identifier
1306030630
Registry record updated Aug 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
000709 Issued in MO
Legal business name
DAVID DOWELL DPM
Practice address
1501 E 20TH St
Joplin, MO 64804-0928
Phone
(417) 659-9395
Fax
(417) 659-9695
NPI assigned
Aug 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2012

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

Authorized official

Name
David Dowell, DPM
Title
Owner
Phone
(417) 659-9395

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 000709 MO Primary
Customized Equipment (DME) 332BC3200X 000709 MO
Prosthetic/Orthotic Supplier 335E00000X 000709 MO

Addresses

Primary practice location

1501 E 20TH St
Joplin, MO 64804-0928

Mailing address

1501 E 20TH St
Joplin, MO 64804-0928
Phone (417) 659-9395

Other identifiers 1

IdentifierTypeStateIssuer
626137004MedicaidMO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344470400000",
    "number": "1306030630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 E 20TH ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648040928",
            "telephone_number": "417-659-9395",
            "fax_number": "417-659-9695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 E 20TH ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648040928",
            "telephone_number": "417-659-9395",
            "fax_number": "417-659-9695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID DOWELL DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2012-08-09",
        "status": "A",
        "authorized_official_last_name": "DOWELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-659-9395",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MO",
            "license": "000709",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "MO",
            "license": "000709",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "MO",
            "license": "000709",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "626137004",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; 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.