Dr. Carlton L Donowa DDS LLC

Primary specialty

DentistTaxonomy code 122300000X

License

4819-015 Issued in WI

Legal business name

DR. CARLTON L DONOWA DDS LLC

Practice address

6032 40TH Ave
Kenosha, WI 53142-7018

Phone

(262) 656-0764

Fax

(262) 656-1833

NPI assigned

Mar 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Carlton L Donowa, DDS

Title

President

Phone

(262) 656-0764

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309392000000",
    "number": "1720102304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6032 40TH AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531427018",
            "telephone_number": "262-656-0764",
            "fax_number": "262-656-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6032 40TH AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531427018",
            "telephone_number": "262-656-0764",
            "fax_number": "262-656-1833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. CARLTON L DONOWA DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2011-06-30",
        "status": "A",
        "authorized_official_last_name": "DONOWA",
        "authorized_official_first_name": "CARLTON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-656-0764",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WI",
            "license": "4819-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; 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.