Individual provider Active NPI

Michael Downie, D.D.S., M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Woodbury, MN
National Provider Identifier
1912996802
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
D11635 Issued in MN
Practice address
8480 Woodbury Xing Ste 120
Woodbury, MN 55125-9406
Phone
(651) 358-7025
Fax
(651) 437-7684
NPI assigned
Oct 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Pathology Dentistry 1223P0106X D11635 MN
Oral and Maxillofacial Surgery (Dentist) 1223S0112X D11635 MN Primary

Addresses

Primary practice location

8480 Woodbury Xing Ste 120
Woodbury, MN 55125-9406

Mailing address

8480 Woodbury Xing Ste 120
Woodbury, MN 55125-9406
Phone (651) 358-7025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20221115002808 MN Order and Referring Only - DentistPractitioner - Dentist 9335149921

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D11635MNMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Twin Cities Oral & Maxillofacial Surgery PA Past Accepting new patients
Twin Cities Oral & Maxillofaical Surgery PA Past Accepting new patients
Twin Cities Oral & Maxillofacial Surgery, PA Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1912996802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8480 WOODBURY XING STE 120",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551259406",
            "telephone_number": "651-358-7025",
            "fax_number": "651-437-7684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8480 WOODBURY XING STE 120",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551259406",
            "telephone_number": "651-358-7025",
            "fax_number": "651-437-7684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWNIE",
        "first_name": "MICHAEL",
        "credential": "D.D.S., M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "MN",
            "license": "D11635",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MN",
            "license": "D11635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

Verify at the official NPI Registry.