Active NPI
Tommy Bowman, DDS
- General Practice Dentistry
- San Antonio, TX
National Provider Identifier
1013018662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 20006
- Practice address
- 2000 SE Loop 410 Ste 125
San Antonio, TX 78220-4925 - Phone
- (210) 648-0996
- NPI assigned
- Sep 26, 2006
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 20006 | TX | Primary |
Addresses
Primary practice location
2000 SE Loop 410 Ste 125
San Antonio, TX 78220-4925
Mailing address
6300 West Loop S Ste 650
Bellaire, TX 77401-2997
Phone (713) 663-7960
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20006 | TX | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Texas Dental Associates, L.P. | General Practice | Past | Accepting new patients |
| Brident Dental Associates PC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- San Antonio, TX
- NPI 1023582129
-
- General Practice Dentistry
- San Antonio, TX
- NPI 1215155627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013018662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6300 WEST LOOP S STE 650",
"city": "BELLAIRE",
"state": "TX",
"postal_code": "774012997",
"telephone_number": "713-663-7960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 SE LOOP 410 STE 125",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782204925",
"telephone_number": "210-648-0996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWMAN",
"first_name": "TOMMY",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "20006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.