Individual provider Active NPI

Daniel Leon Bower, DMD MS

  • Oral and Maxillofacial Surgery (Dentist)
  • Orlando, FL
National Provider Identifier
1083693055
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN21082 Issued in FL
Practice address
1864 N Alafaya TRL Ste 100
Orlando, FL 32826-4733
Phone
(407) 275-6626
Fax
(407) 275-9972
NPI assigned
Jan 10, 2006
Last updated
Mar 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 019-024681 IL
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DN21082 FL Primary

Addresses

Primary practice location

1864 N Alafaya TRL Ste 100
Orlando, FL 32826-4733

Mailing address

819 Shadowmoss Dr
Winter Garden, FL 34787-5257
Phone (321) 317-8793

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2024 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DN21082FLMDOral and Maxillofacial Surgery (Dentist)
019-024681ILMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
University of Central Florida Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1083693055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 SHADOWMOSS DR",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347875257",
            "telephone_number": "321-317-8793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1864 N ALAFAYA TRL STE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328264733",
            "telephone_number": "407-275-6626",
            "fax_number": "407-275-9972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWER",
        "first_name": "DANIEL",
        "middle_name": "LEON",
        "credential": "DMD MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": "019-024681",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN21082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.