Individual provider Active NPI

Dana Dowell, MS, LAT, ATC

  • Sports Medicine (Emergency Medicine) Physician
  • Cameron, NC
National Provider Identifier
1417596297
Registry record updated Dec 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Emergency Medicine) PhysicianTaxonomy code 207PS0010X
License
2000031896 Issued in NC
Practice address
1981 Union Church Rd
Cameron, NC 28326-7957
Phone
(910) 947-5511
NPI assigned
Dec 27, 2019
Last updated
Dec 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Emergency Medicine) Physician 207PS0010X 2000031896 NC Primary

Addresses

Primary practice location

1981 Union Church Rd
Cameron, NC 28326-7957

Mailing address

1767 Buffalo Rd
Galien, MI 49113-9660
Phone (773) 822-9808

Other identifiers 1

IdentifierTypeStateIssuer
000044422044OtherNCBLUE CROSS BLUE SHIELD

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ddowell@ncmcs.org

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2000031896NCMDSports Medicine (Emergency Medicine) Physician

NPI Registry JSON

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

{
    "created_epoch": "1577404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577404800000",
    "number": "1417596297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1767 BUFFALO RD",
            "city": "GALIEN",
            "state": "MI",
            "postal_code": "491139660",
            "telephone_number": "773-822-9808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1981 UNION CHURCH RD",
            "city": "CAMERON",
            "state": "NC",
            "postal_code": "283267957",
            "telephone_number": "910-947-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWELL",
        "first_name": "DANA",
        "credential": "MS, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-27",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PS0010X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "NC",
            "license": "2000031896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000044422044",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ddowell@ncmcs.org",
            "affiliation": "N",
            "address_1": "1981 Union Church Rd",
            "city": "Cameron",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283267957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cameron, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; 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.