Brian C McDowell, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17993 Issued in MA

Practice address

558 Electric Ave
Fitchburg, MA 01420-5370

Phone

(978) 343-4031

Fax

(978) 345-4503

NPI assigned

Dec 5, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922082734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "558 ELECTRIC AVE",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014205370",
            "telephone_number": "978-343-4031",
            "fax_number": "978-345-4503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "558 ELECTRIC AVE",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014205370",
            "telephone_number": "978-343-4031",
            "fax_number": "978-345-4503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDOWELL",
        "first_name": "BRIAN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "17993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa McClanahan
• Daryl Deandre McClendon, D.O
• Peter McConarty, MD
• Jennifer Lynn McDevitt, M. ED.
• Merideth McDonald, M.S.
• Jeremy A McDowell, PA-C
• Shawn McGuirk
• Peter Richard McKenna, LADC-1
• Olivia McKenzie
• Sarah McMahon

• General Practice Dentistry in Fitchburg, MA
• Providers in Fitchburg, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.