Downtown Dental PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D-3689 Issued in ID

Legal business name

DOWNTOWN DENTAL PLLC

Practice address

1625 W Bannock St
Boise, ID 83702-5155

Phone

(208) 342-5444

NPI assigned

Dec 8, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Ryan Kowalczyk, DDSNPI 1023121795

Title

Dentist

Phone

(208) 342-5444

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ryan M Kowalczyk, DDS

  • General Practice Dentistry
  • Boise, ID
  • NPI 1023121795
  NPD Authorized official

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

{
    "created_epoch": "1512691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1407361769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 W BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025155",
            "telephone_number": "208-342-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 W BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025155",
            "telephone_number": "208-342-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNTOWN DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-08",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "KOWALCZYK",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "208-342-5444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "ID",
            "license": "D-3689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Anne Dowell, LPC, MFT
• Madeline Dowen
• Michael I Downey, D.C.
• Sara Downey
• Downtown Dental
• Downtown Dental PLLC
• Nathan Stephen Doyel Jr., DO
• James Thomas Doyle, MD
• Katelyn Doyle, OD
• Margaret Ellen Doyle, LCSW

• Dental Clinic/Center in Boise, ID
• Providers in Boise, ID by specialty
• Dental Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.