Organization Active NPI

Dowden CD LLC

  • Dental Clinic/Center
  • West Bend, WI
National Provider Identifier
1780182758
Registry record updated Jan 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
7242-15 Issued in WI
Legal business name
DOWDEN CD LLC
Doing business as
Cornerstone Dental
Practice address
1713 N Main St
West Bend, WI 53090-1545
Phone
(262) 334-4083
Fax
(262) 334-4996
NPI assigned
Jan 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2018

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

Authorized official

Name
Dr. Ellen Dowden, DDS
Title
Owner
Phone
(414) 870-3072

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 7242-15 WI Primary

Addresses

Primary practice location

1713 N Main St
West Bend, WI 53090-1545

Mailing address

1713 N Main St
West Bend, WI 53090-1545
Phone (262) 334-4083

Other names 1

  • Cornerstone Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1713 N Main St
West Bend, WI 53090
Phone (262) 334-4083

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516752000000",
    "number": "1780182758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 N MAIN ST",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530901545",
            "telephone_number": "262-334-4083",
            "fax_number": "262-334-4996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 N MAIN ST",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530901545",
            "telephone_number": "262-334-4083",
            "fax_number": "262-334-4996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWDEN CD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-24",
        "last_updated": "2018-01-24",
        "status": "A",
        "authorized_official_last_name": "DOWDEN",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-870-3072",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WI",
            "license": "7242-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Bend, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.