James H Macdowell DDS Inc

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

JAMES H MACDOWELL DDS INC

Practice address

11710 El Camino Real Ste 150
San Diego, CA 92130-2245

Phone

(858) 788-9788

Fax

(858) 258-4896

NPI assigned

Aug 7, 2023

Organization subpart

No

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

Authorized official

Name

Katie Tunder

Title

Credentialing

Phone

(877) 667-7669

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691366400000",
    "number": "1760164875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 269090",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731269090",
            "telephone_number": "877-667-7669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11710 EL CAMINO REAL STE 150",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302245",
            "telephone_number": "858-788-9788",
            "fax_number": "858-258-4896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES H MACDOWELL DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A",
        "authorized_official_last_name": "TUNDER",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "877-667-7669"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oral and Maxillofacial Surgery (Dentist) in San Diego, CA
• Providers in San Diego, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.