Roger Charles Dow, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D6497 Issued in OR

Practice address

140 Ramsgate SQ S
Suite 110
Salem, OR 97302-5871

Phone

(503) 363-1712

Fax

(503) 363-4346

NPI assigned

Aug 19, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

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

Practice roles

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.

• Roger C. Dow, DMD PC

  • Pediatric Dentistry
  • Salem, OR
  • NPI 1942551791
  NPD (past) Authorized official
• Building Blocks Pediatric Dentistry, PC

  • Pediatric Dentistry
  • Salem, OR
  • NPI 1235904186
  NPD (past)

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1922112333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 RAMSGATE SQ S",
            "address_2": "SUITE 110",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973025871",
            "telephone_number": "503-363-1712",
            "fax_number": "503-363-4346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 RAMSGATE SQ S",
            "address_2": "SUITE 110",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973025871",
            "telephone_number": "503-363-1712",
            "fax_number": "503-363-4346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOW",
        "first_name": "ROGER",
        "middle_name": "CHARLES",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OR",
            "license": "D6497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112784",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trevor Stanley Douglass, DC, CCSP, MPH
• Doulas of Salem, LLC
• Volodymyr Y. Dovhyy, MD
• Madison Dow, M.S., CCC-SLP
• Marla Dow, MA LPC
• Alicia Dowell
• Ryan Ross Downey, DPM
• Brianne Downing, ND
• Julianne Downs, RN
• Beth Ann Doyle, LPC

• Pediatric Dentistry in Salem, OR
• Providers in Salem, OR by specialty
• Pediatric Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.