Individual provider Active NPI

Jessica Rochelle Bowen, D.M.D., M.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Marlton, NJ
National Provider Identifier
1013170018
Registry record updated Nov 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
22DI02465400 Issued in NJ
Practice address
64 E Main St
Marlton, NJ 08053-2141
Phone
(856) 596-1933
NPI assigned
Jul 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DS038577 PA
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 22DI02465400 NJ Primary

Addresses

Primary practice location

64 E Main St
Marlton, NJ 08053-2141

Mailing address

14 Albany Rd
Marlton, NJ 08053-3516
Phone (856) 495-6105

Other practice location 1

1450 Clements Bridge Rd Ste 13
Deptford, NJ 08096-3068
Phone (856) 322-0536

Other practice location 2

515 Baltimore Pike
Springfield, PA 19064-3811
Phone (610) 627-2000

Other practice location 3

1 Britton Pl Ste 2
Voorhees, NJ 08043-2514
Phone (856) 772-2200

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

LicenseStateTypeSpecialty
22DI02465400NJMDOrthodontics and Dentofacial Orthopedic Dentist
DS038577PAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Bowen Family Orthodontics, LLC Orthodontics and Dentofacial Orthopedics CurrentSince Nov 17, 2019 Accepting new patients
The Orthodontic Group PA Orthodontics and Dentofacial Orthopedics 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1013170018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 ALBANY RD",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533516",
            "telephone_number": "856-495-6105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 E MAIN ST",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532141",
            "telephone_number": "856-596-1933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1450 Clements Bridge Rd Ste 13",
            "address_purpose": "LOCATION",
            "city": "Deptford",
            "state": "NJ",
            "postal_code": "080963068",
            "country_code": "US",
            "telephone_number": "856-322-0536",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "515 Baltimore Pike",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "PA",
            "postal_code": "190643811",
            "country_code": "US",
            "telephone_number": "610-627-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Britton Pl Ste 2",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080432514",
            "country_code": "US",
            "telephone_number": "856-772-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "JESSICA",
        "middle_name": "ROCHELLE",
        "name_prefix": "Dr.",
        "credential": "D.M.D., M.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PA",
            "license": "DS038577",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NJ",
            "license": "22DI02465400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.