Active NPI
Kieran F. Dowd, DMD
- Oral and Maxillofacial Surgery (Dentist)
- Concord, MA
National Provider Identifier
1386633550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 20486
- 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, 2024
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 20486 | MA | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Specialist
- Concord, MA
- NPI 1801820824
-
- Oral and Maxillofacial Surgery (Dentist)
- Lawrence, MA
- NPI 1821153586
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Lawrence, MA
- NPI 1013219476
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.