Individual provider Active NPI

Kieran F. Dowd, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Concord, MA
National Provider Identifier
1386633550
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
20486 Issued in MA
Practice address
150 Baker Avenue Ext Ste 101
Concord, MA 01742-2199
Phone
(978) 369-2525
Fax
(978) 369-2525
NPI assigned
Oct 19, 2005
Last updated
Oct 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 20486 MA Primary

Addresses

Primary practice location

150 Baker Avenue Ext Ste 101
Concord, MA 01742-2199

Mailing address

150 Baker Avenue Ext Ste 101
Concord, MA 01742-2199
Phone (978) 369-2525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050504000405 MA Practitioner - Oral Surgery 5799725297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Tufts University School of Dental Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concord and Lexington Oral Surgery Associates LLCGroup PAC ID 2961402912, 4 clinicians

Practice addresses (Care Compare)

150 Baker Ave Ext
Suite 101
Concord, MA 01742-2199
Phone (978) 369-2525

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20486MAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Karim E . Berty DMD MD PC Past Accepting new patients
Bay State Oral & Maxillofacial Surgery Associates, P.C. Oral and Maxillofacial Surgery Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1386633550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 BAKER AVENUE EXT STE 101",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422199",
            "telephone_number": "978-369-2525",
            "fax_number": "978-369-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BAKER AVENUE EXT STE 101",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422199",
            "telephone_number": "978-369-2525",
            "fax_number": "978-369-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWD",
        "first_name": "KIERAN",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "20486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, MA

Sources for this page

Verify at the official NPI Registry.