Individual provider Active NPI

Stacia Marie Dowell, D.D.S.

  • Dentist
  • Norman, OK
National Provider Identifier
1467899401
Registry record updated Apr 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6468 Issued in OK
Practice address
707 24TH Ave SW
Norman, OK 73069-3987
Phone
(405) 360-0215
Fax
(405) 366-8663
NPI assigned
May 31, 2013
Last updated
Apr 29, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6468 OK Primary

Addresses

Primary practice location

707 24TH Ave SW
Norman, OK 73069-3987

Mailing address

707 24TH Ave SW
Norman, OK 73069-3987
Phone (405) 360-0215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20231214001293 OK Order and Referring Only - DentistPractitioner - Dentist 1951609106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6468OKMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stacia M. Dowell DDS, PLLC 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1369958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398729600000",
    "number": "1467899401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 24TH AVE SW",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730693987",
            "telephone_number": "405-360-0215",
            "fax_number": "405-366-8663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 24TH AVE SW",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730693987",
            "telephone_number": "405-360-0215",
            "fax_number": "405-366-8663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWELL",
        "first_name": "STACIA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-31",
        "last_updated": "2014-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "6468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.