Active NPI
Dawn Dowd
- Dietary Manager
- Bagley, IA
National Provider Identifier
1356960744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dietary Manager
- License
- 13227
- Practice address
- 216 Main Street
Bagley, IA 50026-5002 - Phone
- (641) 757-2649
- Fax
- (515) 465-4163
- NPI assigned
- Apr 15, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dietary Manager | 132700000X | 13227 | IA | Primary |
Addresses
Primary practice location
216 Main Street
Bagley, IA 50026-5002
Mailing address
740 William St
Perry, IA 50220-5600
Phone (641) 757-2628
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| X000487470 | Medicaid | IA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Perry | Health Information Exchange (HIE) | |
| CONNECT URL | Thedoubleddiner@gmail.com | Health Information Exchange (HIE) |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 13227 | IA | MD | Dietary Manager |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586908800000",
"number": "1356960744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "740 WILLIAM ST",
"city": "PERRY",
"state": "IA",
"postal_code": "502205600",
"telephone_number": "641-757-2628",
"fax_number": "515-465-4163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 MAIN STREET",
"city": "BAGLEY",
"state": "IA",
"postal_code": "500265002",
"telephone_number": "641-757-2649",
"fax_number": "515-465-4163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOWD",
"first_name": "DAWN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-15",
"last_updated": "2020-04-15",
"certification_date": "2020-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "132700000X",
"taxonomy_group": "",
"desc": "Dietary Manager",
"state": "IA",
"license": "13227",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "X000487470",
"state": "IA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Perry",
"affiliation": "N",
"endpointDescription": "OFFICE",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "216 Main Street",
"city": "Bagley",
"state": "IA",
"country_code": "US",
"postal_code": "500265002",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Thedoubleddiner@gmail.com",
"affiliation": "N",
"endpointDescription": "office",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "216 Main Street",
"city": "Bagley",
"state": "IA",
"country_code": "US",
"postal_code": "500265002",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Bagley, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.