Individual provider Active NPI

Sophia Maria Alonso Dowling, DDS

  • Dentist
  • Dodge City, KS
National Provider Identifier
1417565136
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
61631 Issued in KS
Practice address
2300 N 14TH Ave Ste 202
Dodge City, KS 67801-2367
Phone
(660) 225-2650
NPI assigned
Jul 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 61631 KS Primary

Addresses

Primary practice location

2300 N 14TH Ave Ste 202
Dodge City, KS 67801-2367

Mailing address

12060 115 Rd
Dodge City, KS 67801-6789
Phone (785) 341-7039

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Aug 27, 2020 through Aug 27, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
61631KSMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dodge City Dental Care PastSince Aug 2, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1417565136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12060 115 RD",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678016789",
            "telephone_number": "785-341-7039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 N 14TH AVE STE 202",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678012367",
            "telephone_number": "660-225-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWLING",
        "first_name": "SOPHIA",
        "middle_name": "MARIA ALONSO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "61631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dodge City, KS

Sources for this page

Verify at the official NPI Registry.