Organization Active NPI

Commonwealth Family Dentistry

  • Dentist
  • Morehead, KY
National Provider Identifier
1821316910
Registry record updated Mar 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8464 Issued in KY
Legal business name
COMMONWEALTH FAMILY DENTISTRY
Practice address
750 W. Main Street
Morehead, KY 40351
Phone
(606) 783-0182
Fax
(606) 783-0272
NPI assigned
May 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2011

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

Authorized official

Name
Dr. Jason S Dowlen, DMD
Title
Owner/Presidebt
Phone
(606) 783-0182

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 8464 KY Primary

Addresses

Primary practice location

750 W. Main Street
Morehead, KY 40351

Mailing address

750 W. Main Street
Morehead, KY 40351
Phone (606) 783-0182

Other identifiers 2

IdentifierTypeStateIssuer
7100126130MedicaidKY
7100009100MedicaidKY

National Provider Directory

National Provider Directory

Locations

750 W Main St
Morehead, KY 40351
Phone (606) 783-0182

Practitioners & affiliated clinicians

Practitioners 2

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": "1273708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300060800000",
    "number": "1821316910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 W. MAIN STREET",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "40351",
            "telephone_number": "606-783-0182",
            "fax_number": "606-783-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 W. MAIN STREET",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "40351",
            "telephone_number": "606-783-0182",
            "fax_number": "606-783-0272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-13",
        "last_updated": "2011-03-14",
        "status": "A",
        "authorized_official_last_name": "DOWLEN",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/PRESIDEBT",
        "authorized_official_telephone_number": "606-783-0182",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "KY",
            "license": "8464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100126130",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100009100",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.