Active NPI
Christopher T Cowherd, DDS
- Dentist
- Iowa City, IA
National Provider Identifier
1902952815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 08402
- Practice address
- 1039 Arthur St
Iowa City, IA 52240-6665 - Phone
- (319) 337-2114
- Fax
- (319) 337-3382
- NPI assigned
- Jan 25, 2007
- Last updated
- Feb 13, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 08402 | IA | Primary |
Addresses
Primary practice location
1039 Arthur St
Iowa City, IA 52240-6665
Mailing address
1039 Arthur St
Iowa City, IA 52240-6665
Phone (319) 337-2114
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08402 | Other | IA | BLUE DENTAL |
| 0080200 | Medicaid | IA | |
| 08402 | Other | IA | DELTAL DENTAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Dec 16, 2015 through Dec 16, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08402 | IA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202860800000",
"number": "1902952815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1039 ARTHUR ST",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522406665",
"telephone_number": "319-337-2114",
"fax_number": "319-337-3382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1039 ARTHUR ST",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522406665",
"telephone_number": "319-337-2114",
"fax_number": "319-337-3382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COWHERD",
"first_name": "CHRISTOPHER",
"middle_name": "T",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-25",
"last_updated": "2008-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IA",
"license": "08402",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE DENTAL",
"identifier": "08402",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0080200",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTAL DENTAL",
"identifier": "08402",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.