Individual provider Active NPI

Jason Thomas Cowden, D.M.D.

  • Dentist
  • Rio Rancho, NM
National Provider Identifier
1962798579
Registry record updated Nov 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DD3656 Issued in NM
Practice address
7800 Carr Way NE
Suite 105
Rio Rancho, NM 87144-0900
Phone
(505) 242-4999
NPI assigned
Jun 22, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10474 CO
Dentist 122300000X DD3656 NM Primary

Addresses

Primary practice location

7800 Carr Way NE
Suite 105
Rio Rancho, NM 87144-0900

Mailing address

5300 Stream Stone Ave NW
Albuquerque, NM 87114-4385
Phone (505) 850-3863

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20160613000323 NM Order and Referring Only - DentistPractitioner - Dentist 5991095432

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10474COMDDentist
DD3656NMMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Cowden Family Dental Dentist Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jason.cowden.1@16098.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353456000000",
    "number": "1962798579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 STREAM STONE AVE NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871144385",
            "telephone_number": "505-850-3863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 CARR WAY NE",
            "address_2": "SUITE 105",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871440900",
            "telephone_number": "505-242-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWDEN",
        "first_name": "JASON",
        "middle_name": "THOMAS",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-22",
        "last_updated": "2012-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "10474",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD3656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

Verify at the official NPI Registry.