Kevin Matthew Downey, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12012988A Issued in IN

Practice address

17901 Turners Dr
South Bend, IN 46635-1529

Phone

(574) 272-0466

NPI assigned

Jul 31, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1639657869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5810 STERLING DR",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465304431",
            "telephone_number": "192-221-1676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17901 TURNERS DR",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466351529",
            "telephone_number": "574-272-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWNEY",
        "first_name": "KEVIN",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-31",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12012988A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Keri Dorman, MA, BCBA
• Douglas J Kosek D.D.S., P.C.
• Douglas J Kosek DDS PC
• David Wood Douglas, D.D.S.
• James Alvin Douglas, D.D.S.
• Jacob Andrew Downs
• Allison Elizabeth Doyle, APNP
• Erica Doyle, SLP
• Grace Alison Doyle
• Maura Doyle

• General Practice Dentistry in South Bend, IN
• Providers in South Bend, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; 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.