Individual provider Active NPI

Mana Ogawa Macdowell, D.D.S.

  • General Practice Dentistry
  • Oxnard, CA
National Provider Identifier
1760523922
Registry record updated Feb 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
48831 Issued in CA
Practice address
1046 N Ventura Rd
Oxnard, CA 93030-3855
Phone
(805) 983-0317
NPI assigned
Feb 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 48831 CA Primary

Addresses

Primary practice location

1046 N Ventura Rd
Oxnard, CA 93030-3855

Mailing address

1046 N Ventura Rd
Oxnard, CA 93030-3855
Phone (805) 983-0317

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20180621000359 CA Order and Referring Only - DentistPractitioner - Dentist 5294080990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
48831CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361232000000",
    "number": "1760523922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1046 N VENTURA RD",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930303855",
            "telephone_number": "805-983-0317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1046 N VENTURA RD",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930303855",
            "telephone_number": "805-983-0317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDOWELL",
        "first_name": "MANA",
        "middle_name": "OGAWA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2013-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

Verify at the official NPI Registry.