Individual provider Active NPI

Jimmy Dodson McDowell, DDS

  • Dentist
  • Hutchinson Island, FL
National Provider Identifier
1467714873
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN11646 Issued in FL
Practice address
3200 N Highway A1A Apt 407
Hutchinson Island, FL 34949-8805
Phone
(561) 262-4987
NPI assigned
Jun 12, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN11646 FL Primary

Addresses

Primary practice location

3200 N Highway A1A Apt 407
Hutchinson Island, FL 34949-8805

Mailing address

3200 N Highway A1A Apt 407
Hutchinson Island, FL 34949-8805
Phone (561) 262-4987

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20160314001659 FL Order and Referring Only - DentistPractitioner - Dentist 0042516270

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN11646FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Jimmy D McDowell DDS PA Past 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": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1467714873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 N HIGHWAY A1A APT 407",
            "city": "HUTCHINSON ISLAND",
            "state": "FL",
            "postal_code": "349498805",
            "telephone_number": "561-262-4987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 N HIGHWAY A1A APT 407",
            "city": "HUTCHINSON ISLAND",
            "state": "FL",
            "postal_code": "349498805",
            "telephone_number": "561-262-4987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDOWELL",
        "first_name": "JIMMY",
        "middle_name": "DODSON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-12",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN11646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hutchinson Island, FL

Sources for this page

Verify at the official NPI Registry.