Individual provider Active NPI

Stephen P Bowne, DMD

  • Prosthodontics
  • New York, NY
National Provider Identifier
1013230978
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
036353 Issued in NY
Practice address
150 E 69TH St Apt 2R
New York, NY 10021-5722
Phone
(212) 753-3723
NPI assigned
Mar 8, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 036353 NY Primary

Addresses

Primary practice location

150 E 69TH St Apt 2R
New York, NY 10021-5722

Mailing address

150 E 69TH St Apt 2R
New York, NY 10021-5722
Phone (212) 753-3723

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20160425001492 NY Order and Referring Only - DentistPractitioner - Dentist 2567761612

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1013230978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E 69TH ST APT 2R",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215722",
            "telephone_number": "212-753-3723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E 69TH ST APT 2R",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215722",
            "telephone_number": "212-753-3723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWNE",
        "first_name": "STEPHEN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-08",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NY",
            "license": "036353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.