Individual provider Active NPI

Martha Ruth Bowen, D.C.

  • Chiropractor
  • Longview, TX
National Provider Identifier
1043370893
Registry record updated Aug 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC6818 Issued in TX
Practice address
3392 Highway 259 North
Longview, TX 75605
Phone
(903) 663-5885
Fax
(903) 663-0908
NPI assigned
Dec 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC6818 TX Primary

Addresses

Primary practice location

3392 Highway 259 North
Longview, TX 75605

Mailing address

PO Box 9066
Longview, TX 75608-9066
Phone (903) 663-5885

Other identifiers 1

IdentifierTypeStateIssuer
089079001MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120912000053 TX Practitioner - Chiropractic 7113174897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bowen Chiropractic Clinic PLLCGroup PAC ID 5597912261, 2 clinicians

Practice addresses (Care Compare)

3392 US Hwy 259 N
Longview, TX 75605-5086
Phone (903) 663-5885

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6818TXMDAddiction (Substance Use Disorder) Counselor
DC6818TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
E3 Chiropractic and Functional Health, PLLC Chiropractor CurrentSince Feb 1, 2021 Accepting new patients
Bowen Chiropractic Clinic PLLC Chiropractor CurrentSince Jun 25, 2012 Accepting new patients
Bowen Chiropractic Clinic Chiropractor Past Accepting new patients

Locations

3392 US Highway 259 N
Longview, TX 75605
Phone (903) 663-5885

Organizations & group practices 3

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219968000000",
    "number": "1043370893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9066",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756089066",
            "telephone_number": "903-663-5885",
            "fax_number": "903-663-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3392 HIGHWAY 259 NORTH",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "75605",
            "telephone_number": "903-663-5885",
            "fax_number": "903-663-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "MARTHA",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2008-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC6818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "089079001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.