Individual provider Active NPI

Hugh Coleman Dowdy III, DDS

  • Dentist
  • Petersburg, VA
National Provider Identifier
1831449206
Registry record updated Sep 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401008737 Issued in VA
Practice address
700 South Sycamore Street
Suite 17
Petersburg, VA 23803
Phone
(804) 861-2571
Fax
(804) 861-3078
NPI assigned
Sep 13, 2012
Last updated
Sep 13, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401008737 VA Primary

Addresses

Primary practice location

700 South Sycamore Street
Suite 17
Petersburg, VA 23803

Mailing address

700 South Sycamore Street
Suite 17
Petersburg, VA 23803
Phone (804) 861-2571

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0401008737VAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Doctor Hugh C Dowdy III DDS PLLC Dentist CurrentSince Sep 28, 2021 Accepting new patients

Locations

700 S Sycamore St
Ste 17
Petersburg, VA 23803
Phone (804) 861-2571

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347494400000",
    "number": "1831449206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SOUTH SYCAMORE STREET",
            "address_2": "SUITE 17",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "23803",
            "telephone_number": "804-861-2571",
            "fax_number": "804-861-3078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SOUTH SYCAMORE STREET",
            "address_2": "SUITE 17",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "23803",
            "telephone_number": "804-861-2571",
            "fax_number": "804-861-3078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWDY",
        "first_name": "HUGH",
        "middle_name": "COLEMAN",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-13",
        "last_updated": "2012-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401008737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petersburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; 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.