Michael E Bowman DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MICHAEL E BOWMAN DDS PC

Practice address

800 Mulberry St
Loudon, TN 37774-1309

Phone

(865) 458-4352

Fax

(865) 458-2845

NPI assigned

Mar 27, 2008

Organization subpart

No

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

Authorized official

Name

Michael E Bowman, DDS

Title

President/Owner

Phone

(865) 458-4352

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason Bowman, D.D.S.

  • General Practice Dentistry
  • Loudon, TN
  • NPI 1548523434
  NPD (past)

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1013189356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MULBERRY ST",
            "city": "LOUDON",
            "state": "TN",
            "postal_code": "377741309",
            "telephone_number": "865-458-4352",
            "fax_number": "865-458-2845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MULBERRY ST",
            "city": "LOUDON",
            "state": "TN",
            "postal_code": "377741309",
            "telephone_number": "865-458-4352",
            "fax_number": "865-458-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL E BOWMAN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "865-458-4352",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2009193",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015986",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "628206",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Calvin Mathews, D.P.T.
• Michael J Matzek, P.T.
• Paul Mayhew, DDS
• Mason Reid McIntosh
• Jamie McLemore, NP
• Patricia Marie Miller, RDN
• Hannah Monroe
• Carolyn H Morton
• Heather Lynn Moss, PHARM.D.
• Mountain View Assisted Living of Loudon, LLC

• General Practice Dentistry in Loudon, TN
• Providers in Loudon, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.