Organization Active NPI

J Paul Downie DDS PC

  • General Practice Dentistry
  • New Haven, IN
National Provider Identifier
1336300532
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12007714 Issued in IN
Legal business name
J PAUL DOWNIE DDS PC
Practice address
982 Koehlinger Dr
New Haven, IN 46774-1712
Phone
(260) 749-1940
NPI assigned
Jun 19, 2008
Last updated
Jun 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
J Paul Downie, DDS
Title
President
Phone
(260) 749-1940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12007714 IN Primary

Addresses

Primary practice location

982 Koehlinger Dr
New Haven, IN 46774-1712

Mailing address

982 Koehlinger Dr
New Haven, IN 46774-1712
Phone (260) 749-1940

Other identifiers 1

IdentifierTypeStateIssuer
100054290AMedicaidIN

National Provider Directory

National Provider Directory

Locations

982 Koehlinger Dr
New Haven, IN 46774
Phone (260) 748-3696

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1336300532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "982 KOEHLINGER DR",
            "city": "NEW HAVEN",
            "state": "IN",
            "postal_code": "467741712",
            "telephone_number": "260-749-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "982 KOEHLINGER DR",
            "city": "NEW HAVEN",
            "state": "IN",
            "postal_code": "467741712",
            "telephone_number": "260-749-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J PAUL DOWNIE DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-19",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "DOWNIE",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-749-1940",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12007714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100054290A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.